Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-05-05-54
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Project Information
| Project Identifiers | Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-133-3.2/R4.1 |
| Award Date | 02/23/2021 |
| Closeout Date | Not set |
| Work Description | ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK. |
| Location Description | ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION |
| QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
| Sample Taken Date | 05/05/2023 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 05/10/2023 |
| Sample type | Verification | A brief description of the sample | JMF 1/2" WMA-O-SP |
| The quantity of what the sample constitutes | 5 Bags of Aggregate | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0248O-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials Company - Corona | 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) | 91-33-0027 |
|---|---|---|---|
| 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 | Manufacturer | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 320830 CORD SJR | Lot number | |
| Sublot number | Aggregate Mix Number |
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. | |||