Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2015-07-10-6

Project Information

Project IdentifiersProject ID: 209240
DEA: 07259204
EFIS: 0700020196
DIST-CO-RTE-PM07-LA-10-R8.8/13.5
Award Date03/10/2014
Closeout Date04/11/2017
Work DescriptionCONSTRUCT AUSTIN VAULT SAND FILTER BEDS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM LA CIENEGA BOULEVARD TO 0.3 MILE WEST OF VERMONT AVENUE
QA Service Level1 (Verified on 04/18/2014)

Sample Information

Sample Taken Date07/10/2015 Sample Unique Key6
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 testing07/10/2015
Sample typeAcceptance A brief description of the sampleClass 5 Permeable Base
The quantity of what the sample constitutes1 Bucket From where was the sample collectedOther
First name of sampler or witnessed byEd Last name of sampler or witnessed byToledo
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification5166B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnited Rock Irwindale Transportation Laboratory (TL) NumberC936826
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-07-10-6-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesCharles McDonald, CT D08 - Fontana Southern Regional Laboratory07/13/2015Charles Mcdonald
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2015-07-10-6-1 CTM 202-November 2011