Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-10-15-17
Project Information
Project Identifiers | Project ID: 66666 DEA: APP EFIS: 0019000052 |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 10/15/2020 | Sample Unique Key | 17 |
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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 | 10/15/2020 |
Sample type | Aggregate Prequalification Program | A brief description of the sample | 1.0" PCC Aggregates |
The quantity of what the sample constitutes | 13 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Ramy | Last name of sampler or witnessed by | Mekail |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 2293 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Robertsons - Cabazon | Transportation Laboratory (TL) Number | C030797 |
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) | 91-33-0008::CABAZON QUARRY |
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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 collected | Plant | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | Lot number | ||
Sublot number | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |