Sample Record for 2025-09-20-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995193 DEA: 07356604 EFIS: 0719000026
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-605-R10.2/20.2
Work Description: LANE & SLAB REPLACEMENT, COLD PLANE & HMA OVERLAY.
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS, PICO RIVERA, WHITTIER, CITY OF INDUSTRY AND EL MONTE FROM TELEGRAPH ROAD UNDERCROSSING TO ROUTE 605/10 SEPARATION
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Ave, Sacramento, CA 95838
Resident Engineer: Jerome Arabe Structure Rep.: Tien Chu
Sample Information
DIME Sample ID: 2025-09-20-1
TL Number from the TL Form: C 003536
Sample Submitted By Organization: CT D07 - Plant Services
Sample Organization Contact: 562-345-3126
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 09/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/20/2025
The quantity of what the sample constitutes: 631+ CY
A brief description of the sample: 1 x No. 4 PCC Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification: 021A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Myers & Sons PCC Portable Plant-Irwindale
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-19-0025
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: Plant Belt Cut
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: T35skRSLCB
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2025-09-20-1-1
Test Method: ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates
Submitted By Organization: CT D07 - Plant Services
Organization Address: 13230 East Firestone Boulevard, Suite G,
Organization City: Santa Fe Springs
Organization State: CA
Organization Zipcode: 90670
Organization Email: victor.zengler@dot.ca.gov
Organization Phone: (562) 345-3126
Data has not been verified.
