Sample Record
Owner Lab
- CT D07 - Plant Services, Unit 1841
DIME Sample ID 2022-01-29-39
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Project Information
| Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
| Award Date | 04/03/2020 |
| Closeout Date | 06/06/2024 |
| Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
| Sample Taken Date | 01/29/2022 | Sample Unique Key | 39 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/02/2022 | Sample type | Department Acceptance |
| A brief description of the sample | LCBRS-Aggregate | The quantity of what the sample constitutes | 328 CY |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Honesto |
| Last name of sampler or witnessed by | Castillo | Title of sampler | MREAS |
| Telephone number of sampler | 12134537563 | Laboratory sample identification | 5760 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Flatiron Portable Plant - Paxton off-Ramp | |
| Transportation Laboratory (TL) Number | C-006550 | 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) | Onsite Stockpile |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | LCBRS Mix | The fabricator/manufacturer designation for the sample | Mix FIW 110-1 |
| The plant number | Pacoima | A detailed description of where the material sample was collected | Onsite Stockpile |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | FIW110-1 | 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: 2022-01-29-39-1 CTM 202-November 2011 (Verified)