Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-02-08-44
Project Information
Project Identifiers | Project ID: 215221 DEA: 07332604 EFIS: 0716000287 |
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DIST-CO-RTE-PM | 07-LA-10-R12.4/14.9 |
Award Date | 12/16/2020 |
Closeout Date | 11/25/2024 |
Work Description | REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING. |
Location Description | THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION |
QA Service Level | 1 (Verified on 03/19/2021) |
Sample Information
Sample Taken Date | 02/08/2022 | Sample Unique Key | 44 |
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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 | 02/12/2022 |
Sample type | Department Acceptance | A brief description of the sample | 1x4 aggregate |
The quantity of what the sample constitutes | 30 CY | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
Title of sampler | Telephone number of sampler | 2137924794 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Robertsons gardena | Transportation Laboratory (TL) Number | C0208A1 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 5846 | Structure unique identifier | |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0008::CABAZON QUARRY |
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The fabricator's/manufacturer's product name for the sample | PCC mix | The fabricator/manufacturer designation for the sample | mix SC675B39 |
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 | WB 10 Off Ramp | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | SC675B39 | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-02-08-44-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-08-44-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-02-08-44-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-08-44-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-02-08-44-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-08-44-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-02-08-44-7 CTM 226-July 2010 (Verified)