Sample Record for 2025-08-13-137
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994962 DEA: 07357304 EFIS: 0719000062
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-6.6/13.1
Work Description: REPLACE CONCRETE SLABS AND MEDIAN BARRIER,
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS, DOWNEY AND CITY OF COMMERCE FROM 0.2 MILE SOUTH OF ROUTE 5/605 SEPARATION TO 0.1 MILE NORT
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Martin Oregel Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-08-13-137
TL Number from the TL Form:
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: 08/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2025
The quantity of what the sample constitutes: 982 tons
A brief description of the sample: 1/2 RHMA-G
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Irwindale
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
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: Belt Discharge
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
