Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-04-13-65
Project Information
| Project Identifiers | Project ID: 993122 DEA: 07322304 EFIS: 0716000054 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110-22.8 |
| Award Date | 10/04/2021 |
| Closeout Date | 09/24/2024 |
| Work Description | CONSTRUCT AND REPLACE BRIDGE RAILS. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AT FIFTH STREET OVERCROSSING AND AT SIXTH STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 08/04/2021) |
Sample Information
| Sample Taken Date | 04/13/2022 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 04/20/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 1x4 PCC Aggregates |
| The quantity of what the sample constitutes | 40 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 | NATIONAL READY MIXED CONCRETE VERNON PLANT | Transportation Laboratory (TL) Number | C0413B1 |
| 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) | 91-19-0052 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | PCC mix | The fabricator/manufacturer designation for the sample | mix S62578 |
| The plant number | Vernon | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Barrier Rails | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | S62578 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-13-65-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-13-65-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-04-13-65-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-13-65-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-04-13-65-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-13-65-6 CTM 226-July 2010 (Verified)
DIME Test ID: 2022-04-13-65-7 CTM 217-June 2011 (Verified)
