Sample Record

DIME Sample ID 2022-01-26-20

Project Information

Project IdentifiersProject ID: 214620
DEA: 07309304
EFIS: 0714000281
DIST-CO-RTE-PM07-LA-210,405,605-Various
Award Date03/18/2020
Closeout Date07/26/2022
Work DescriptionREINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/15/2020)

Owner Lab

  • CT D07 - Plant Services, Unit 1841

Sample Information

Sample Taken Date01/26/2022 Sample Unique Key20
Date that the sample was received by the laboratory/organization performing the testing02/02/2022 Sample typeDepartment Acceptance
A brief description of the sample1x4 pcc aggregate The quantity of what the sample constitutes50 CY
From where was the sample collectedManufacturer 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 nameCemex
Transportation Laboratory (TL) NumberC-0126A1 Inspector Lot Number from the Transportation Laboratory (TL) Form5749
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0106::WHITE MOUNTAIN QUARRY
The fabricator's/manufacturer's product name for the samplePCC mix The fabricator/manufacturer designation for the samplemix 1612109
The plant numberLos Angeles A detailed description of where the material sample was collectedPlant Stockpile
Where the material sample would have been placed if not sampledbarrier Primary Aggregate Nominal Size1 inch
The concrete mix design number1612109 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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