Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2015-06-08-9
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Project Information
| Project Identifiers | Project ID: 209217 DEA: 080F5404 EFIS: 0800000136 COOP: 081468 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-91,15-0.0/13.04, 35.64/45.14 |
| Award Date | 09/09/2013 |
| Closeout Date | 09/20/2023 |
| Work Description | SR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas. |
| Location Description | 08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14 |
| QA Service Level | 1 (Verified on 08/07/2014) |
Sample Information
| Sample Taken Date | 06/08/2015 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 06/10/2015 |
| Sample type | Acceptance | A brief description of the sample | Class 2 Aggregate Subbase |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Leo | Last name of sampler or witnessed by | Santa Maria |
| Title of sampler | QA Technician | Telephone number of sampler | Unknown |
| Laboratory sample identification | 5113B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Radio Yard Crusher | Transportation Laboratory (TL) Number | Unknown |
| 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) | Unknow |
|---|---|---|---|
| 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 | Belt Discharge |
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||