Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-10-13-48
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | Not set |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 10/13/2021 | Sample Unique Key | 48 |
|---|---|---|---|
| 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 | 10/18/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 1" Concrete Aggregate |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Baher | Last name of sampler or witnessed by | Fakhoury |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 4954 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard at the 57 Freeway | Transportation Laboratory (TL) Number | C007478 |
| 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) | Vulcan |
|---|---|---|---|
| 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 | Belt Cut at Vanguard 57 Freeway | |
| Where the material sample would have been placed if not sampled | Northbound 75 past Tonner Canyon | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | 57030SL | 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 |
|---|---|---|---|---|---|---|---|---|
| 2021-10-13-48-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Angel Toledo, CT D08 - Fontana Southern Regional Laboratory | 10/27/2021 | Michael Magana | No | Info | ||
| 2021-10-13-48-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Michael Magana, CT D08 - Fontana Southern Regional Laboratory | 10/28/2021 | Michael Magana | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-13-48-1 CTM 202-November 2011
DIME Test ID: 2021-10-13-48-2 CTM 227-December 2014