Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2016-06-21-14
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211091 DEA: 081G1004 EFIS: 0815000125 |
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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 | 06/21/2016 | Sample Unique Key | 14 |
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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 | Department 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 | 6261B | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Chandler Corona | Transportation Laboratory (TL) Number | C 985243 10 |
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 |
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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 |
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No results found. |
Test File Attachments
DIME Test ID: 2016-06-21-14-1 CTM 217-June 2011 (Verified)
DIME Test ID: 2016-06-21-14-2 CTM 229-June 2011 (Verified)
DIME Test ID: 2016-06-21-14-3 CTM 202-November 2011 (Verified)