Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2025-01-03-10

Project Information

Project IdentifiersProject ID: 995193
DEA: 07356604
EFIS: 0719000026
DIST-CO-RTE-PM07-LA-605-R10.2/20.2
Award Date04/04/2024
Closeout DateNot set
Work DescriptionLANE & SLAB REPLACEMENT, COLD PLANE & HMA OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS, PICO RIVERA, WHITTIER, CITY OF INDUSTRY AND EL MONTE FROM TELEGRAPH ROAD UNDERCROSSING TO ROUTE 605/10 SEPARATION
QA Service Level1 (Verified on 10/03/2023)

Sample Information

Sample Taken Date01/03/2025 Sample Unique Key10
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 testing01/03/2025
Sample typeAcceptance A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes120+ CY From where was the sample collectedManufacturer
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of samplerMREAS Telephone number of sampler2134537563
Laboratory sample identification001B Linked DIME Sample ID2025-01-03-09
The fabricator/manufacturer/facility nameStockpile at the contractors yard Transportation Laboratory (TL) NumberC 003443
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0025
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 collectedStockpile at Contractor's Whittier yard
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design numberVCTS675 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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