Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-10-13-49

Project Information

Project IdentifiersProject ID: 214524
DEA: 07304504
EFIS: 0714000067
DIST-CO-RTE-PM07-LA-57-R0.0/R4.5
Award Date06/11/2020
Closeout DateNot set
Work DescriptionCONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location DescriptionLOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
QA Service Level1 (Verified on 08/12/2020)

Sample Information

Sample Taken Date10/13/2021 Sample Unique Key49
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 testing10/18/2021
Sample typeQuality Assurance A brief description of the sampleWCS Concrete Aggregate
The quantity of what the sample constitutes1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byBaher Last name of sampler or witnessed byFakhoury
Title of sampler Telephone number of sampler
Laboratory sample identification4955 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVanguard at the 57 Freeway Transportation Laboratory (TL) NumberC007479
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate 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 collectedBelt Cut at Vanguard 57 Freeway
Where the material sample would have been placed if not sampledNorthbound 75 past Tonner Canyon Primary Aggregate Nominal Sizefine
The concrete mix design number57030SL Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-13-49-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAmir Behjati, David Padilla, CT D08 - Fontana Southern Regional Laboratory10/28/2021Michael Magana
No
Info
2021-10-13-49-2CTM 217-June 2011: Method of Test for Sand EquivalentLarry Diaz, CT D08 - Fontana Southern Regional Laboratory10/29/2021Michael Magana
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-10-13-49-1 CTM 202-November 2011
DIME Test ID: 2021-10-13-49-2 CTM 217-June 2011