Sample Record

Owner Labs

  • CT D07 - Plant Services, Unit 1841
  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-02-27-12

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date02/27/2022 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testing02/28/2022 Sample typeDepartment Acceptance
A brief description of the sampleRECYCLED LEAN BASE AGG FOR LCB The quantity of what the sample constitutesOne Bag
From where was the sample collectedManufacturer First name of sampler or witnessed byBaher
Last name of sampler or witnessed byFakhoury Title of sampler
Telephone number of sampler2137937180 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameFCI PCC Portable Plant
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)LB Crushing: CMB / CL 2 BASE
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 number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2022-02-27-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesBaher Fakhoury, CT D07 - Plant Services, Unit 184103/09/202204/01/2022
Yes
04/05/2022Public - Test Data Visible
2022-02-27-12-2CTM 217-June 2011: Method of Test for Sand EquivalentBaher Fakhoury, CT D07 - Plant Services, Unit 184103/09/202204/01/2022
Yes
04/05/2022Public - Test Data Visible

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-02-27-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-27-12-2 CTM 217-June 2011 (Verified)