Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2025-01-03-33
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Project Information
| Project Identifiers | Project ID: 214697 DEA: 07307104 EFIS: 0714000213 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-32.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BRIDGE. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 01/03/2025 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 01/08/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1" AGG |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Md | Last name of sampler or witnessed by | SHAHJAHAN |
| Title of sampler | Telephone number of sampler | 2133998666 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | 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) | 91-19-0046 |
|---|---|---|---|
| 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 | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | S85C440T1 | 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: 2025-01-03-33-1 CTM 227-December 2014 (Verified)
DIME Test ID: 2025-01-03-33-2 CTM 202-November 2011 (Verified)