Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-16-6
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Project Information
| Project Identifiers | Project ID: 211091 DEA: 081G1004 EFIS: 0815000125 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-36.5/42.6 |
| Award Date | 02/25/2016 |
| Closeout Date | 10/26/2016 |
| Work Description | REPLACE ASPHALT CONCRETE SURFACING AND SLURRY SEAL |
| Location Description | REPLACE ASPHALT CONCRETE SURFACING AND SLURRY SEAL |
| QA Service Level | 1 (Verified on 05/03/2016) |
Sample Information
| Sample Taken Date | 06/16/2016 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 06/22/2016 |
| Sample type | Acceptance | A brief description of the sample | Aggregate Type III for Slurry Seal |
| The quantity of what the sample constitutes | 1 Bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mohammad | Last name of sampler or witnessed by | Abuelkhair |
| Title of sampler | TE | Telephone number of sampler | Unknown |
| Laboratory sample identification | 6258B | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Chandler Corona | Transportation Laboratory (TL) Number | C 985243 7 |
| 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 | Job Site |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-06-16-6-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2016-06-16-6-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2016-06-16-6-3 CTM 229-June 2011 (Verified)