Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-06-13-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214029 DEA: 07301104 EFIS: 0714000009 |
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DIST-CO-RTE-PM | 07-LA-60,710-710-R2.8/11.8, 24.1/25.1 |
Award Date | 06/03/2019 |
Closeout Date | 10/17/2023 |
Work Description | Roadway ex, place jointed plain concrete pavement & concrete barrieres |
Location Description | In Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation. |
QA Service Level | 1 (Verified on 06/25/2019) |
Sample Information
Sample Taken Date | 06/13/2020 | Sample Unique Key | 4 |
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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 | 06/16/2020 |
Sample type | Acceptance | A brief description of the sample | 1.0" PCC Aggregate |
The quantity of what the sample constitutes | 1Bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Tuan | Last name of sampler or witnessed by | Nguyen |
Title of sampler | MREA | Telephone number of sampler | |
Laboratory sample identification | 1265 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons Irwindale | Transportation Laboratory (TL) Number | CTNT1 |
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) | N/A |
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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 | Conveyor Belt at Plant |
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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-06-13-4-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-06-13-4-4 CTM 227-December 2014 (Verified)