Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-06-15-70
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993771 DEA: 07325204 EFIS: 0716000082 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R36.7/R37.1 |
| Award Date | 02/15/2022 |
| Closeout Date | 01/29/2024 |
| Work Description | San Gabriel River Bridge - CM/GC Project - Hinge And Diaphragm Repairs |
| Location Description | Los Angeles County - LOS ANGELES COUNTY IN IRWINDALE FROM 0.2 MILE EAST OF 0.7 MILE WEST OF IRWINDALE AVENUE OVECROSSING |
| QA Service Level | 1 (Verified on 04/21/2022) |
Sample Information
| Sample Taken Date | 06/15/2022 | Sample Unique Key | 70 |
|---|---|---|---|
| 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 | 06/15/2022 |
| Sample type | Department Acceptance | A brief description of the sample | LCB Aggregate |
| The quantity of what the sample constitutes | 100 cys | From where was the sample collected | Source |
| First name of sampler or witnessed by | Gerry | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Transportation Engineer | Telephone number of sampler | |
| Laboratory sample identification | 6942 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National Ready Mix Concrete Company | Transportation Laboratory (TL) Number | 924184 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0052 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | LCB Aggregate | The fabricator/manufacturer designation for the sample | BATCH PLANT |
| The plant number | A detailed description of where the material sample was collected | Conveyor Belt feeding weight hopper at the Plant | |
| Where the material sample would have been placed if not sampled | LCB slab | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | S29000 | 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: 2022-06-15-70-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-15-70-2 CTM 202-November 2011 (Verified)