Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-01-26-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215456 DEA: 07293604 EFIS: 0713000238 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-14.3/15.8 |
| Award Date | 05/26/2021 |
| Closeout Date | 07/03/2025 |
| Work Description | CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS. |
| Location Description | LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET |
| QA Service Level | 1 (Verified on 07/07/2021) |
Sample Information
| Sample Taken Date | 01/26/2022 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 01/28/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Coarse and fine aggregate |
| The quantity of what the sample constitutes | Two Bags | 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 | Telephone number of sampler | 2137937180 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex Inglewood | 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) | Cemex |
|---|---|---|---|
| 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 | Ground Pile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | 1617549 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||