Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-09-08-66
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214493 DEA: 07311704 EFIS: 0715000013 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-134-0.0/R13.3 |
| Award Date | 04/16/2020 |
| Closeout Date | Not set |
| Work Description | CONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710 |
| QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
| Sample Taken Date | 09/08/2022 | Sample Unique Key | 66 |
|---|---|---|---|
| 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 | 09/14/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA AGGREGATE |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Gerry | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | TRANSPORTATION ENGINEER CIVIL | Telephone number of sampler | |
| Laboratory sample identification | 7719 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA Corona | Transportation Laboratory (TL) Number | C-924269 |
| 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) | 91-33-0005 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA GGREGATE | The fabricator/manufacturer designation for the sample | LOT 1 |
| The plant number | AAA CORONA | A detailed description of where the material sample was collected | Coldfeed Conveyor Belt |
| Where the material sample would have been placed if not sampled | HMA MAT | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 105793 | Lot number | 1 |
| 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: 2022-09-08-66-1 AASHTO T27-14 (Verified)
DIME Test ID: 2022-09-08-66-2 AASHTO T176-08 (Verified)