Sample Record

Owner Lab

  • Coast Aggregates

DIME Sample ID 2020-10-07-44

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/07/2020 Sample Unique Key44
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/09/2020
Sample typeAggregate Prequalification Program A brief description of the sampleSplit samples of 1", 3/8" & washed concrete sand
The quantity of what the sample constitutes10 5 gallon buckets of each material From where was the sample collectedSource
First name of sampler or witnessed byShon Last name of sampler or witnessed byFlores
Title of samplerTechnical Services Technician Telephone number of sampler(949) 580-1802
Laboratory sample identification1707511 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoast Aggregates, Big Rock Transportation Laboratory (TL) NumberTwining Long Beach
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameN / A

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0054::BIG ROCK CREEK - LEBATA
The fabricator's/manufacturer's product name for the sampleBig Rock C33 Samples The fabricator/manufacturer designation for the sampleBig Rock C33 Split Sample
The plant numberNA A detailed description of where the material sample was collectedFrom stockpiles at source
Where the material sample would have been placed if not sampledLoaded into Transportation Units Primary Aggregate Nominal Size1 inch
The concrete mix design numberNA Lot number1
Sublot number1 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-07-44-1CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Brandon Agles, Coast Aggregates10/20/2020Brandon Agles
Yes
09/20/2021

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-10-07-44-1 CTM 227-December 2014 (Verified)