Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2024-01-10-65
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Project Information
| Project Identifiers | Project ID: 994327 DEA: 081G4704 EFIS: 0816000001 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-3.1/53.5 |
| Award Date | 01/02/2023 |
| Closeout Date | Not set |
| Work Description | STRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM. |
| Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE. |
| QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
| Sample Taken Date | 01/10/2024 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 01/11/2024 |
| Sample type | Acceptance | A brief description of the sample | 1"xNo.4 PCC |
| The quantity of what the sample constitutes | 20 CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mohammed | Last name of sampler or witnessed by | Haque |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertson's Ready Mix - San Jacinto/Hemet | 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) | 91-33-0012 |
|---|---|---|---|
| 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 | Conveyor Belt at Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | SC675B34 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-01-10-65-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-10-65-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-10-65-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-10-65-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-01-10-65-5 CTM 226-July 2010 (Verified)