Sample Record
Owner Lab
- Fisher Sand & Gravel
DIME Sample ID 2021-10-20-35
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Project Information
| Project Identifiers | Project ID: 215349 DEA: 081C0824 EFIS: 0816000087 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R104.9/R134.2 |
| Award Date | 03/24/2021 |
| Closeout Date | Not set |
| Work Description | PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW. |
| Location Description | RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC |
| QA Service Level | 1 (Verified on 03/01/2021) |
Sample Information
| Sample Taken Date | 10/20/2021 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 10/21/2021 |
| Sample type | Quality Control | A brief description of the sample | Eagle Mountain Aggregate Base Type 2 |
| The quantity of what the sample constitutes | 500 cubic yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sony | Last name of sampler or witnessed by | Pheng |
| Title of sampler | QC Tester | Telephone number of sampler | 909-676-2447 |
| Laboratory sample identification | 20211021-01 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Eagle Mountain Mine | Transportation Laboratory (TL) Number | |
| 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) | Eagle Mountain |
|---|---|---|---|
| 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 | Windrow in the field. | |
| 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 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-20-35-1 CTM 202-November 2011 (Verified)