Sample Record

DIME Sample ID 2022-02-07-40

Project Information

Project IdentifiersProject ID: 214451
DEA: 07303704
EFIS: 0714000035
DIST-CO-RTE-PM07-LA-101-8.0/27.3
Award Date12/19/2019
Closeout Date05/07/2024
Work DescriptionREPLACE CONCRETE BARRIERS.
Location DescriptionTHE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 08/12/2020)

Owner Lab

  • CT D07 - Plant Services, Unit 1841

Sample Information

Sample Taken Date02/07/2022 Sample Unique Key40
Date that the sample was received by the laboratory/organization performing the testing02/11/2022 Sample typeDepartment Acceptance
A brief description of the sampleCoarse and fine aggregate The quantity of what the sample constitutesThree Bags
From where was the sample collectedManufacturer First name of sampler or witnessed byBaher
Last name of sampler or witnessed byFakhoury Title of samplerTET
Telephone number of sampler2137937180 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameNational Van Nuys
Transportation Laboratory (TL) Number 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)United
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 collectedGround Pile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberS58522 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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