Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-06-21-70
Project Information
| Project Identifiers | Project ID: 214451 DEA: 07303704 EFIS: 0714000035 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-8.0/27.3 |
| Award Date | 12/19/2019 |
| Closeout Date | 05/07/2024 |
| Work Description | REPLACE CONCRETE BARRIERS. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 06/21/2022 | Sample Unique Key | 70 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/27/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PCC agg |
| The quantity of what the sample constitutes | 100CY | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Luis | Last name of sampler or witnessed by | Acosta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National Canoga Park | 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) | granite big rock creek (no Smara) |
|---|---|---|---|
| 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 | stock pile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | S-58522 | 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: 2022-06-21-70-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-21-70-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-06-21-70-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-21-70-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-21-70-5 CTM 226-July 2010 (Verified)
