Sample Record
Owner Labs
- CT D07 - Plant Services
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-18-49
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215456 DEA: 07293604 EFIS: 0713000238 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-14.3/15.8 |
| Award Date | 05/26/2021 |
| Closeout Date | 07/03/2025 |
| Work Description | CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS. |
| Location Description | LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET |
| QA Service Level | 1 (Verified on 07/07/2021) |
Sample Information
| Sample Taken Date | 04/18/2022 | Sample Unique Key | 49 |
|---|---|---|---|
| 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 | 04/18/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 1x4 |
| The quantity of what the sample constitutes | 90 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Zaid | Last name of sampler or witnessed by | Abdelkhaliq |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex Inglewood | Transportation Laboratory (TL) Number | |
| 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) | 91-36-0106 |
|---|---|---|---|
| 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 collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 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: 2022-04-18-49-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-18-49-3 CTM 227-December 2014 (Verified)