Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2021-12-02-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | 04/03/2025 |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 12/02/2021 | Sample Unique Key | 44 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 12/11/2021 |
| Sample type | Verification | A brief description of the sample | Coarse aggregate |
| The quantity of what the sample constitutes | One Bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Baher | Last name of sampler or witnessed by | Fakhoury |
| Title of sampler | TET | Telephone number of sampler | 2137937180 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertson's Corona (Harlow) | 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) | 91-33-0061 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/8 Pea Gravel | The fabricator/manufacturer designation for the sample | Mix Plant |
| 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 | 3/8 inch | |
| The concrete mix design number | SC675B38 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-02-44-1 CTM 202-November 2011 (Verified)