Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-23-10
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Project Information
| Project Identifiers | Project ID: 209240 DEA: 07259204 EFIS: 0700020196 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-R8.8/13.5 |
| Award Date | 03/10/2014 |
| Closeout Date | 04/11/2017 |
| Work Description | CONSTRUCT AUSTIN VAULT SAND FILTER BEDS. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM LA CIENEGA BOULEVARD TO 0.3 MILE WEST OF VERMONT AVENUE |
| QA Service Level | 1 (Verified on 04/18/2014) |
Sample Information
| Sample Taken Date | 06/23/2015 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 06/23/2015 |
| Sample type | Department Acceptance | A brief description of the sample | Class 5 Permeable Base |
| The quantity of what the sample constitutes | 1 Bucket | From where was the sample collected | Other |
| 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 | 5147B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | United Rock Irwindale | Transportation Laboratory (TL) Number | C62615B2 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| 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 | Unknown |
| 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2015-06-23-10-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Charles Mcdonald, CT D08 - Fontana Southern Regional Laboratory | 07/29/2015 | Charles Mcdonald | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-06-23-10-1 CTM 202-November 2011