Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-04-22-34
Project Information
Project Identifiers | Project ID: 214663 DEA: 081F7304 EFIS: 0815000034 |
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DIST-CO-RTE-PM | 08-SBD-215-2.7 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | REPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA. |
Location Description | SAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING |
QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
Sample Taken Date | 04/22/2021 | Sample Unique Key | 34 |
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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 | 04/22/2021 |
Sample type | Annual Source Testing | A brief description of the sample | 1.0" X No. 4 PCC Aggregate |
The quantity of what the sample constitutes | 6 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 | QC Representative | Telephone number of sampler | (909) 350-1846 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex-Moorpark Quarry | Transportation Laboratory (TL) Number | 3911 |
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) | 91-56-0014::MOORPARK |
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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 | Stockpile | |
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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2021-04-22-34-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Dominic Montemayor, CT D08 - Fontana Southern Regional Laboratory | 05/14/2021 | Nader Rashidi-Ghader | No | Info | ||
2021-04-22-34-2 | 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 | ||
2021-04-22-34-3 | CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine | Friday Ofoegbu, CT D08 - Fontana Southern Regional Laboratory | 05/17/2021 | Nader Rashidi-Ghader | No | Info | ||
2021-04-22-34-4 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Larry Diaz, CT D08 - Fontana Southern Regional Laboratory | 05/19/2021 | Nader Rashidi-Ghader | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-04-22-34-1 CTM 202-November 2011
DIME Test ID: 2021-04-22-34-2 CTM 206-October 2011
DIME Test ID: 2021-04-22-34-3 CTM 211-May 2010
DIME Test ID: 2021-04-22-34-4 CTM 227-December 2014