Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-08-01-9
Project Information
| Project Identifiers | Project ID: 212085 DEA: 07296604 EFIS: 0713000057 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-14.0/19.0 |
| Award Date | 06/04/2018 |
| Closeout Date | 05/04/2023 |
| Work Description | PAINT AND REHABILITATE BRIDGE - (STRAIN (PAINT AND INSTALL CATWALK) |
| Location Description | IN THE CITY OF LOS ANGELES, AT SANTA MONICA VIADUCT (BR. NO. 53-1301). PAINT AND REHABILITATE BRIDGE |
| QA Service Level | 1 (Verified on 07/25/2018) |
Sample Information
| Sample Taken Date | 08/01/2022 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 08/01/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PCC Aggregate |
| The quantity of what the sample constitutes | 3 Bags of Aggs | From where was the sample collected | Source |
| First name of sampler or witnessed by | Avo | Last name of sampler or witnessed by | Karajian |
| Title of sampler | TET | Telephone number of sampler | 12137986076 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex Ready Mix - 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 | Cemex White Mtn Victorville | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 1612109 | 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: 2022-08-01-9-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-01-9-2 CTM 227-December 2014 (Verified)
