Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-11-01-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date11/01/2020 Sample Unique Key1
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 testing11/01/2020
Sample typeAggregate Prequalification Program A brief description of the samplePCC Aggregates
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byjm Last name of sampler or witnessed byjm
Title of sampler Telephone number of sampler
Laboratory sample identification1234 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons - Palmdale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-13-0064::MOUNT SIGNAL GRAVEL PIT
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-01-1-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader Rashidi-Ghader, CT D08 - Fontana Southern Regional Laboratory11/03/2020Nader Rashidi-Ghader
Yes
11/02/2020

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-11-01-1-6 CTM 202-November 2011 (Verified)