Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-04-22-33
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214620 DEA: 07309304 EFIS: 0714000281 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210,405,605-Various |
| Award Date | 03/18/2020 |
| Closeout Date | 07/26/2022 |
| Work Description | REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
| Sample Taken Date | 04/22/2021 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 04/28/2021 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/8" X No. 8 PCC Aggregates |
| The quantity of what the sample constitutes | JMF 12 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | MARC | Last name of sampler or witnessed by | SEGURA |
| Title of sampler | SEGURA | Telephone number of sampler | 909-350-1846 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex-White Mountain Quarry | Transportation Laboratory (TL) Number | 3910 |
| 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) | 91-36-0106::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 collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 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 |
|---|---|---|---|---|---|---|---|---|
| 2021-04-22-33-11 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Edward Jabbour, CT D08 - Fontana Southern Regional Laboratory | 05/13/2021 | Nader Rashidi-Ghader | No | Info | ||
| 2021-04-22-33-12 | CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate | Larry Diaz, CT D08 - Fontana Southern Regional Laboratory | 05/14/2021 | Nader Rashidi-Ghader | No | Info | ||
| 2021-04-22-33-13 | CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine | Larry Diaz, CT D08 - Fontana Southern Regional Laboratory | 05/19/2021 | Nader Rashidi-Ghader | No | Info | ||
| 2021-04-22-33-14 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory | 05/17/2021 | Nader Rashidi-Ghader | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-22-33-11 CTM 202-November 2011
DIME Test ID: 2021-04-22-33-12 CTM 206-October 2011
DIME Test ID: 2021-04-22-33-13 CTM 211-May 2010
DIME Test ID: 2021-04-22-33-14 CTM 227-December 2014