Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2014-08-28-14
Project Information
| Project Identifiers | Project ID: 209583 DEA: 07295004 EFIS: 0713000008 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-41.7/48.3 |
| Award Date | 07/07/2014 |
| Closeout Date | 03/21/2016 |
| Work Description | COLD PLANE AC PVMT AND PLACE RUBBERIZED HMA, SUPERPAVE. |
| Location Description | LOS ANGELES COUNTY IN POMONA, SAN DIMAS AND CLAREMONT FROM 0.7 MILE WEST OF ROUTE 10/57 SEPARATION TO SAN BERNARDINO COUNTY LINE |
| QA Service Level | 1 (Verified on 06/04/2014) |
Sample Information
| Sample Taken Date | 08/28/2014 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 09/22/2014 |
| Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 2 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Unknown |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 4272B | Linked DIME Sample ID | 0 |
| The fabricator/manufacturer/facility name | Cemex Azusa Quarry | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | SMARA 91 19 0007 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpiles |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2014-08-28-14-1 CTM 207-March 2012 (Verified)
DIME Test ID: 2014-08-28-14-2 CTM 213-December 2012 (Verified)
DIME Test ID: 2014-08-28-14-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2014-08-28-14-4 CTM 229-June 2011 (Verified)