Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-04-22-32

Project Information

Project IdentifiersProject ID: 214620
DEA: 07309304
EFIS: 0714000281
DIST-CO-RTE-PM07-LA-210,405,605-Various
Award Date03/18/2020
Closeout Date07/26/2022
Work DescriptionREINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date04/22/2021 Sample Unique Key32
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 testing04/28/2021
Sample typeAnnual Source Testing A brief description of the sample1.0" X No. 4 PCC Aggregates
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byMARC Last name of sampler or witnessed bySEGURA
Title of samplerSEGURA Telephone number of sampler909-350-1846
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex-White Mountain Quarry Transportation Laboratory (TL) Number3909
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)91-36-0106::WHITE MOUNTAIN QUARRY
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
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
2021-04-22-32-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesEdward Jabbour, CT D08 - Fontana Southern Regional Laboratory05/13/2021Nader Rashidi-Ghader
No
Info
2021-04-22-32-7CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateSebastian Ferrer, CT D08 - Fontana Southern Regional Laboratory05/14/2021Nader Rashidi-Ghader
No
Info
2021-04-22-32-8CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineDnilo Ferrer, CT D08 - Fontana Southern Regional Laboratory05/17/2021Nader Rashidi-Ghader
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-04-22-32-6 CTM 202-November 2011
DIME Test ID: 2021-04-22-32-7 CTM 206-October 2011
DIME Test ID: 2021-04-22-32-8 CTM 211-May 2010