Sample Record

Owner Lab

  • CT D07 - Plant Services, Unit 1841

DIME Sample ID 2021-11-30-8

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date11/30/2021 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing12/01/2021 Sample typeDepartment Acceptance
A brief description of the sample1 in The quantity of what the sample constitutes100 cy
From where was the sample collectedFabricator First name of sampler or witnessed byVictor
Last name of sampler or witnessed byPham Title of samplerTET
Telephone number of sampler2137924794 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAssociate Ready mixed Concrete
Transportation Laboratory (TL) Number113021 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::IRWINDALE
The fabricator's/manufacturer's product name for the sample590lbs concrete The fabricator/manufacturer designation for the sample3600 psi
The plant numberSun Valley A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampledRW Primary Aggregate Nominal Size1 inch
The concrete mix design number556300 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2021-11-30-8-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor Pham, CT D07 - Plant Services, Unit 184111/30/202105/04/2022
Yes
05/04/2022Public - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-11-30-8-1 CTM 202-November 2011 (Verified)