Sample Record

Owner Lab

  • CT D08 - Barstow Field Laboratory 1

DIME Sample ID 2024-02-21-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 994191
DEA: 081G8304
EFIS: 0816000079
DIST-CO-RTE-PM08-SBD-40-R100.8/R101.8
Award Date12/01/2022
Closeout DateNot set
Work DescriptionHMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW.
Location DescriptionSAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE
QA Service Level1 (Verified on 03/30/2023)

Sample Information

Sample Taken Date02/21/2024 Sample Unique Key8
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 testing02/21/2024
Sample typeAcceptance A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byFrancisco Last name of sampler or witnessed byRuvalcaba
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Bullhead City AZ Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)cemex bullhead city
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 collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number1409542 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-02-21-8-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesChizitere Ozuruigbo, CT D08 - Barstow Field Laboratory 102/21/2024Chijioke Okoroanyanwu
Yes
03/04/2024

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-02-21-8-1 CTM 202-November 2011 (Verified)