Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2026-01-31-4

Project Information

Project IdentifiersProject ID: 1001440
DEA: 07370804
EFIS: 0720000139
DIST-CO-RTE-PM07-LA-5-30.6/31.6
Award DateNot set
Closeout DateNot set
Work DescriptionREMOVE CONCRETE PAVEMENT AND BASE, AND PLACE JPCP.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM 0.2 MILE NORTH OF SAN FERNANDO BOULEVARD TO 0.2 MILE SOUTH OF COHASSET STREET
QA Service Level1 (Verified on 08/15/2025)

Sample Information

Sample Taken Date01/31/2026 Sample Unique Key4
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 testing02/02/2026
Sample typeAcceptance A brief description of the sample1"x#4 agg.
The quantity of what the sample constitutes600 CY From where was the sample collectedFabricator
First name of sampler or witnessed byArnold Last name of sampler or witnessed byTruong
Title of samplerMaterial Tester Telephone number of sampler213-808-4582
Laboratory sample identification0131261 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Ready Mix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form0131261 Structure unique identifier
Structure name Bid Item24 - JOINTED PLAIN CONCRETE PAVEMENT (RSC)

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)19-CAN-01
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 collected1"x#4 aggregates
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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