DIME - Sample Record for DIME Sample ID 2021-05-12-56

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-05-12-56

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Project Information

Project Identifiers	Project ID: 215221 DEA: 07332604 EFIS: 0716000287
DIST-CO-RTE-PM	07-LA-10-R12.4/14.9
Award Date	Not set
Closeout Date	Not set
Work Description	REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location Description	THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
QA Service Level	1 (Verified on 03/19/2021)

Sample Information

Sample Taken Date	05/12/2021	Sample Unique Key	56
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	06/14/2021
Sample type	Annual Source Testing	A brief description of the sample	3/8" PCC Aggregate
The quantity of what the sample constitutes	2 Bags	From where was the sample collected	Source
First name of sampler or witnessed by	Chris	Last name of sampler or witnessed by	Hindman
Title of sampler	QC Representative	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Robertsons - Cabazon	Transportation Laboratory (TL) Number	4043
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)	91-33-0008::CABAZON 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
2021-05-12-56-6	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Dominic Montemayor, CT D08 - Fontana Southern Regional Laboratory	06/01/2021	Nader Rashidi-Ghader	Yes	06/02/2021	This was a retest. first trial failed the gradation on passing the #4 sieve..
2021-05-12-56-7	CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate	Sebastian Ferrer, CT D08 - Fontana Southern Regional Laboratory	05/24/2021	Nader Rashidi-Ghader	Yes	06/02/2021
2021-05-12-56-8	CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine	F. Ofoegbu/D. Padilla, CT D08 - Fontana Southern Regional Laboratory	05/24/2021	Nader Rashidi-Ghader	Yes	06/02/2021
2021-05-12-56-9	CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate	Nader Rashidi-Ghader, CT D08 - Fontana Southern Regional Laboratory	05/28/2021	Nader Rashidi-Ghader	Yes	06/02/2021
2021-05-12-56-10	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Sebastian Ferrer, CT D08 - Fontana Southern Regional Laboratory	05/24/2021	Nader Rashidi-Ghader	Yes	06/02/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-05-12-56-6 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-05-12-56-7 CTM 206-October 2011 (Verified)
DIME Test ID: 2021-05-12-56-8 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-05-12-56-9 CTM 214-August 2010 (Verified)
DIME Test ID: 2021-05-12-56-10 CTM 227-December 2014 (Verified)