Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2013-12-18-7304605
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 3811 DEA: 071219U4 EFIS: 0700001829 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,170-58.0/63.4,R32.3/R33.1 |
| Award Date | 05/06/2010 |
| Closeout Date | 08/25/2016 |
| Work Description | Construct HOV lanes, connectors and replace slabs. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM 0.1 KM NORTH OF SHELDON STREET OVERCROSSING TO ROUTE 5/118 SEPARATION AND ON ROUTE 170 FROM 0.1 KM SOUTH OF ARLETA/SHELDON UNDERCROSSING TO ROUTE 5/170 SEPARATION |
| QA Service Level | 1 (Verified on 08/16/2012) |
Sample Information
| Sample Taken Date | 12/18/2013 | Sample Unique Key | 7304605 |
|---|---|---|---|
| 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 | 12/18/2013 |
| Sample type | Annual Source Testing | A brief description of the sample | WCS |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Pollard |
| Title of sampler | Supervisor of Technical Services | Telephone number of sampler | Not set |
| Laboratory sample identification | 4005B | Linked DIME Sample ID | Not set |
| The fabricator/manufacturer/facility name | Vulcan Sun Valley - Blvd. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0019::BOULEVARD |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Not set | The fabricator/manufacturer designation for the sample | Not set |
| The plant number | Not set | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | 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: 2013-12-18-7304605-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2013-12-18-7304605-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2013-12-18-7304605-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2013-12-18-7304605-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2013-12-18-7304605-5 CTM 229-June 2011 (Verified)