Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-12-06-7
Project Information
Project Identifiers | Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 |
---|---|
DIST-CO-RTE-PM | 08-SBD-173-18.7 |
Award Date | 08/20/2020 |
Closeout Date | 10/02/2024 |
Work Description | STRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL. |
Location Description | SAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD |
QA Service Level | 1 (Verified on 01/13/2020) |
Sample Information
Sample Taken Date | 12/06/2023 | Sample Unique Key | 7 |
---|---|---|---|
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 | 12/07/2023 |
Sample type | Verification | A brief description of the sample | PSUE 3/4" HMA-A R15 0.5% LAS |
The quantity of what the sample constitutes | 2 bags of Agg., 1 bag of RAP | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Nathan | Last name of sampler or witnessed by | Ogbasellasie |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0608A-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Lytle Creek/ Valero/ Pre Tech INC | 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) | 91-36-0040 |
---|---|---|---|
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 | Belt Cut at Matich Plant Rialto | |
Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | LHP-63D | 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. |