Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-05-31-10
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Project Information
| Project Identifiers | Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-12.5/14.8 |
| Award Date | 12/23/2019 |
| Closeout Date | 01/18/2022 |
| Work Description | REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT. |
| Location Description | SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/12/2019) |
Sample Information
| Sample Taken Date | 05/31/2020 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 06/02/2020 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Hindman |
| Title of sampler | QC Technician | Telephone number of sampler | 951-236-2183 |
| Laboratory sample identification | 1153 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Robertsons-Rialto | Transportation Laboratory (TL) Number | 1153 |
| 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) | 91-36-0146 |
|---|---|---|---|
| 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 | Robertson Rialto |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-31-10-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-05-31-10-7 CTM 207-March 2012 (Verified)
DIME Test ID: 2020-05-31-10-8 CTM 213-December 2012 (Verified)
DIME Test ID: 2020-05-31-10-9 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-05-31-10-10 CTM 229-June 2011 (Verified)