Sample Record
DIME Sample ID 2022-01-20-20
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Project Information
| Project Identifiers | Project ID: 214451 DEA: 07303704 EFIS: 0714000035 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-8.0/27.3 |
| Award Date | 12/19/2019 |
| Closeout Date | 05/07/2024 |
| Work Description | REPLACE CONCRETE BARRIERS. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/12/2020) |
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
Sample Information
| Sample Taken Date | 01/20/2022 | Sample Unique Key | 20 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/21/2022 | Sample type | Department Acceptance |
| A brief description of the sample | 1x 4 PCC Aggregates | The quantity of what the sample constitutes | One Bag |
| From where was the sample collected | Source | First name of sampler or witnessed by | Avo |
| Last name of sampler or witnessed by | Karajian | Title of sampler | TET |
| Telephone number of sampler | Laboratory sample identification | 5630 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | National Ready Mix | |
| Transportation Laboratory (TL) Number | A01201A | 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) | Van Nuys |
|---|---|---|---|
| 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 | S-58552 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2022-01-20-20-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 01/24/2022 | No | |||||
| 2022-01-20-20-2 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | Amir Behjati, CT D08 - Fontana Southern Regional Laboratory | 02/02/2022 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-01-20-20-1 CTM 202-November 2011
DIME Test ID: 2022-01-20-20-2 CTM 227-December 2014