Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2024-12-12-24
Project Information
| Project Identifiers | Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-605-20.2/26 |
| Award Date | 04/12/2023 |
| Closeout Date | Not set |
| Work Description | INDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 12/12/2024 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 12/12/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Native |
| The quantity of what the sample constitutes | 151 SY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jareerattana | Last name of sampler or witnessed by | Sirisujarittha |
| Title of sampler | Materials Tester | Telephone number of sampler | 562-564-9465 |
| Laboratory sample identification | 24-3859 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | N/A | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | SB 605 off-ramp Ramona RAM B3 | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | N/A |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Native | The fabricator/manufacturer designation for the sample | Compactions Testing |
| The plant number | A detailed description of where the material sample was collected | Jobsite | |
| Where the material sample would have been placed if not sampled | Jobsite | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
