Sample Record

Owner Labs

  • Moore Twining Associates, Incorporated
  • Robertson's - Corona

DIME Sample ID 2023-03-08-27

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/08/2023 Sample Unique Key27
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/09/2023
Sample typeAggregate Prequalification Program A brief description of the sample3/8in Agg
The quantity of what the sample constitutes5000Tons From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of sampler Telephone number of sampler9512362183
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Harlow Quarry Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0061
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 collectedquarry shipping belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments