Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-04-21-19
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Project Information
| Project Identifiers | Project ID: 212600 DEA: 07293704 EFIS: 0713000239 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110,405-8.0/9.0,12.2/13.2 |
| Award Date | 02/27/2018 |
| Closeout Date | 08/03/2023 |
| Work Description | WIDEN SHOULDER AND AUXILIARY LANE OF CONNECTOR. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR CARSON ON ROUTE 110 FROM 0.2 MILE NORTH OF TORRANCE BOULEVARD UNDERCROSSING TO 190TH STREET UNDERCROSSING AND ON ROUTE 405 FROM MAIN STREET UNDERCROSSING TO 190TH STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/03/2018) |
Sample Information
| Sample Taken Date | 04/21/2020 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 04/23/2020 |
| Sample type | Acceptance | A brief description of the sample | WCS Aggregate for Acceptance |
| The quantity of what the sample constitutes | 1 bag, 30CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | MD | Last name of sampler or witnessed by | SHAJAHAN |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | 9872 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CEMEX COMPTON, SOURCE CEMEX VULCAN DURBIN | Transportation Laboratory (TL) Number | 002095 |
| 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) | 91-19-0023::DURBIN |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | na |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | 1513375 | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-21-19-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-04-21-19-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-04-21-19-3 CTM 226-July 2010 (Verified)