Sample Record for 2026-08-25-66
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1002351 DEA: 073XE204 EFIS: 0726000367
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-30.30/30.55
Work Description: Remove and replace the damaged concrete slabs and cold plane and overlay damaged asphalt concrete (AC) pavement.
Location Description: In Los Angeles County, on westbound (WB) LA 210 in the City of Arcadia between PM 30.3 to Baldwin Ave/W Foothill Blvd on-ramp (PM 30.55).
Contractor Name: BALTAZAR CONSTRUCITON,INC.
Contractor Address: 236 E. ARROW HWY, COVINA, CA 91722
Resident Engineer: Shoaib Azam Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-08-25-66
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Plant Services, Unit 1841
Sample Organization Contact: (562) 345-3126
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2026
The quantity of what the sample constitutes: 150 tons
A brief description of the sample: 3/4" Aggregate
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt-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: Feeder Conveyor Belt
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
Test
DIME Test ID: 2026-08-25-66-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D07 - Plant Services, Unit 1841
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.
Test
DIME Test ID: 2026-08-25-66-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Submitted By Organization: CT D07 - Plant Services, Unit 1841
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.
