Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-05-22-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214671 DEA: 07303904 EFIS: 0714000044 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-31.2/37.2 |
| Award Date | 11/25/2020 |
| Closeout Date | 10/11/2023 |
| Work Description | LANE REPLACEMENT |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/21/2021) |
Sample Information
| Sample Taken Date | 05/22/2022 | Sample Unique Key | 12 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/22/2022 |
| Sample type | Department Acceptance | A brief description of the sample | JPCPRS |
| The quantity of what the sample constitutes | 800 CY | From where was the sample collected | Other |
| First name of sampler or witnessed by | LR | Last name of sampler or witnessed by | Collier |
| Title of sampler | TET | Telephone number of sampler | 14242327257 |
| 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 | WB 10 Lane 3 Between Azusa and Vincent | Bid Item | Not set |
Material Information
| Material Type | Rapid Set | Manufacturer | Security Paving |
|---|---|---|---|
| Mix no. | G3-21-PRS-237 | Materials Received | na |
| Lot no. | 123 | Batch no. | 3 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||