Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-04-25-5
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Project Information
| Project Identifiers | Project ID: 210695 DEA: 080K2924 EFIS: 0812000099 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-32.9/R37.4 |
| Award Date | 10/30/2015 |
| Closeout Date | 08/08/2018 |
| Work Description | REPLACE EXISTING (PCCP) WITH (RSCP). |
| Location Description | IN/NEAR REDLANDS FROM 0.2 MILE W/O FORD STREET TO 0.4 MILE E/O LIVEOAK CANYON ROAD. |
| QA Service Level | 1 (Verified on 10/19/2015) |
Sample Information
| Sample Taken Date | 04/25/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/25/2016 |
| Sample type | Acceptance | A brief description of the sample | Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Hamid | Last name of sampler or witnessed by | Arjomand |
| Title of sampler | TE | Telephone number of sampler | Unknown |
| Laboratory sample identification | 6156B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Unknown | 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) | 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 | Rte 10 WB Sta 795 00 |
| 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 |
|---|---|---|---|---|---|---|---|---|
| 2016-04-25-5-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | MD Shahjahan, CT D08 - Fontana Southern Regional Laboratory | 04/26/2016 | Charles Mcdonald | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-04-25-5-1 CTM 202-November 2011