Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-04-22-36

Project Information

Project IdentifiersProject ID: 214663
DEA: 081F7304
EFIS: 0815000034
DIST-CO-RTE-PM08-SBD-215-2.7
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location DescriptionSAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date04/22/2021 Sample Unique Key36
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 testing04/22/2021
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byMARC Last name of sampler or witnessed bySEGURA
Title of samplerQC Representative Telephone number of sampler(909) 350-1846
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex-Moorpark Quarry Transportation Laboratory (TL) Number3913
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-56-0014
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 Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.