Sample Record
Owner Labs
- CT D07 - Plant Services, Unit 1841
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-19-56
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 04/19/2022 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | Coarse and fine aggregate | The quantity of what the sample constitutes | Three Bags |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Baher |
| Last name of sampler or witnessed by | Fakhoury | Title of sampler | |
| Telephone number of sampler | 2137937180 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Security Paving batch plant | |
| 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) | 91-19-0025 |
|---|---|---|---|
| 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 | 3/8 inch | |
| The concrete mix design number | G3-19-PCC-001 | 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: 2022-04-19-56-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-19-56-2 CTM 227-December 2014 (Verified)