Sample Record for 2026-01-31-11
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001440 DEA: 07370804 EFIS: 0720000139
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-30.6/31.6
Work Description: REMOVE CONCRETE PAVEMENT AND BASE, AND PLACE JPCP.
Location Description: LOS ANGELES COUNTY IN BURBANK FROM 0.2 MILE NORTH OF SAN FERNANDO BOULEVARD TO 0.2 MILE SOUTH OF COHASSET STREET
Contractor Name: SECURITY PAVING COMPANY INC.
Contractor Address: 3075 Towngate Road, St. 200, Westlake Village, CA 91361
Resident Engineer: danglong Tran Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-01-31-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 01/31/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/04/2026
The quantity of what the sample constitutes: 2000
A brief description of the sample: AB Base Class 3
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: vulcan materials
Material Information
Source Identification (SMARA, name of Pit or Job Site): N/A
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: Job Site
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
