Sample Record

DIME Sample ID 2022-02-12-17

Project Information

Project IdentifiersProject ID: 214671
DEA: 07303904
EFIS: 0714000044
DIST-CO-RTE-PM07-LA-10-31.2/37.2
Award Date11/25/2020
Closeout Date10/11/2023
Work DescriptionLANE REPLACEMENT
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING
QA Service Level1 (Verified on 01/21/2021)

Owner Lab

  • CT D07 - Plant Services, Unit 1841

Sample Information

Sample Taken Date02/12/2022 Sample Unique Key17
Date that the sample was received by the laboratory/organization performing the testing02/17/2022 Sample typeDepartment Acceptance
A brief description of the sampleCoarse and fine aggregate The quantity of what the sample constitutesTwo Samples Each Sample Three 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 nameVulcan/Durbin Irwindale
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)Vulcan Irwindale, Reliance Irwindale
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-21-PRS-237 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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