Sample Record
Owner Lab
- Kleinfelder, Incorporated - Los Angeles
DIME Sample ID 2024-10-12-12
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Project Information
| Project Identifiers | Project ID: 994582 DEA: 073203U4 EFIS: 0722000071 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91,605-R16.6/R16.8,R0.0/R10.4 |
| Award Date | 06/20/2023 |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT. |
| Location Description | LOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/12/2023) |
Sample Information
| Sample Taken Date | 10/12/2024 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | 10/12/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1x4 LCB Aggregates |
| The quantity of what the sample constitutes | 360 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Dominic | Last name of sampler or witnessed by | Montemayor |
| Title of sampler | Field Materials Tester | Telephone number of sampler | 9517643140 |
| Laboratory sample identification | 24-10-007 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vanguard Imperial Yard | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Vulcan Durbin |
|---|---|---|---|
| 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 | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | HE4x4BM | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-12-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-10-12-12-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-10-12-12-3 CTM 226-July 2010 (Verified)
DIME Test ID: 2024-10-12-12-4 CTM 217-June 2011 (Verified)