Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-03-25-21
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214221 DEA: 081F1424 EFIS: 0815000232 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-23.9/33.4 |
| Award Date | 09/05/2019 |
| Closeout Date | 03/01/2022 |
| Work Description | REPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL |
| Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/04/2019) |
Sample Information
| Sample Taken Date | 03/25/2020 | Sample Unique Key | 21 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 03/26/2020 |
| Sample type | Verification | A brief description of the sample | 1.0" PCC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Other |
| First name of sampler or witnessed by | Louis | Last name of sampler or witnessed by | Riley |
| Title of sampler | Field Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Myers and Sons Construction | Transportation Laboratory (TL) Number | C800-5-RS |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Myers and Sons Construction | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2020-03-25-21-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Larry Diaz and Michael Magana, CT D08 - Fontana Southern Regional Laboratory | 03/30/2020 | Matthew Clayton | No | Info | ||
| 2020-03-25-21-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Larry Diaz, CT D08 - Fontana Southern Regional Laboratory | 04/06/2020 | Matthew Clayton | Yes | 07/06/2020 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-03-25-21-1 CTM 202-November 2011
DIME Test ID: 2020-03-25-21-2 CTM 227-December 2014 (Verified)