Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-01-16-9
Project Information
Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
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DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
Award Date | 11/29/2012 |
Closeout Date | 07/31/2023 |
Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
Sample Taken Date | 01/16/2015 | Sample Unique Key | 9 |
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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 | 01/16/2015 |
Sample type | Annual Source Testing | A brief description of the sample | Washed Concrete Sand |
The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Source |
First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Pollard |
Title of sampler | Supervisor of Technical Services | Telephone number of sampler | Unknown |
Laboratory sample identification | 5112B | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Vulcan Sun Valley Boulevard | Transportation Laboratory (TL) Number | C15 31 |
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, name of Pit or Job Site) | 91-19-0019::BOULEVARD |
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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 | fine |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2015-01-16-9-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2015-01-16-9-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2015-01-16-9-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2015-01-16-9-4 CTM 229-June 2011 (Verified)
DIME Test ID: 2015-01-16-9-5 CTM 217-June 2011 (Verified)