Sample Record
DIME Sample ID 2022-06-20-61
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Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Owner Lab
- CT D07 - Plant Services, Unit 1841
Sample Information
| Sample Taken Date | 06/20/2022 | Sample Unique Key | 61 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 06/21/2022 | Sample type | Department Acceptance |
| A brief description of the sample | 1x4 PCC Aggregates | The quantity of what the sample constitutes | 70 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 | TET |
| Telephone number of sampler | 2137924794 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | ROBERTSONS POMONA | |
| Transportation Laboratory (TL) Number | C0620A1 | 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) | 91-33-0061 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | Pomona | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Roadway | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | SC590B38 | 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: 2022-06-20-61-1 CTM 202-November 2011 (Verified)