Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2021-12-14-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215050 DEA: 080R1424 EFIS: 0815000201 |
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DIST-CO-RTE-PM | 08-SBD-40-R125.0/R154.6 |
Award Date | 08/26/2020 |
Closeout Date | 11/01/2022 |
Work Description | ROADWAY EXCAVATION, IMPORT BORROW AND REGRADE THE MEDIAN SLOPE. |
Location Description | SAN BERNARDINO COUNTY FROM 4.5 MILES EAST OF HOMER WASH BRIDGE TO ARIZONA STATE LINE |
QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
Sample Taken Date | 12/14/2021 | Sample Unique Key | 1 |
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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 | 12/14/2021 |
Sample type | Quality Assurance | A brief description of the sample | 1 x 4 PCC Aggregate and Sand |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Larry | Last name of sampler or witnessed by | Francisco |
Title of sampler | TE | Telephone number of sampler | |
Laboratory sample identification | test 1 20 tons out at 1134 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Bullhead City AZ SJR | 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) | 91-36-0098 |
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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 | At the plant | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
The concrete mix design number | 1619144 | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-12-14-1-1 AASHTO T27-14 (Verified)