Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2022-10-21-29
Project Information
Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
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DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
Award Date | 06/06/2018 |
Closeout Date | Not set |
Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
Location Description | LA/SBD County Line to PM 13.2 near I-15 |
QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
Sample Taken Date | 10/21/2022 | Sample Unique Key | 29 |
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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 | 10/24/2022 |
Sample type | Quality Assurance | A brief description of the sample | 1 x 4 PCC Aggregate and Sand |
The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | ALBERTO | Last name of sampler or witnessed by | GONZALEZ |
Title of sampler | QC Alta Vista | Telephone number of sampler | |
Laboratory sample identification | test 1 50 cy out at 1111pm | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Lane security paving ONTARIO | 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) | 91-36-0040 |
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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 | 1610974 | Lot number | |
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-21-29-1 AASHTO T27-14 (Verified)