Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-09-12-54
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 | 07/09/2024 |
| 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 | 09/12/2022 | Sample Unique Key | 54 |
|---|---|---|---|
| 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 | 10/14/2022 |
| 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 | Manufacturer |
| First name of sampler or witnessed by | GERRY | Last name of sampler or witnessed by | ZUBIETA |
| Title of sampler | Transportation Engineer Technician | Telephone number of sampler | |
| Laboratory sample identification | 7720 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt Corona | Transportation Laboratory (TL) Number | C-924273 |
| 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) | 91-33-0005 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA A ASPHALT CONCRETE | The fabricator/manufacturer designation for the sample | |
| The plant number | CORONA PLANT | A detailed description of where the material sample was collected | Cold Feed Sampling Chute |
| 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 | |
| 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: 2022-09-12-54-1 AASHTO T27-14 (Verified)
DIME Test ID: 2022-09-12-54-2 AASHTO T176-08 (Verified)
