Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-01-13-38
Project Information
| Project Identifiers | Project ID: 993162 DEA: 07319104 EFIS: 0716000017 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91-R11.8 |
| Award Date | 02/10/2022 |
| Closeout Date | 01/11/2024 |
| Work Description | ADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP. |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR |
| QA Service Level | 1 (Verified on 11/30/2021) |
Sample Information
| Sample Taken Date | 01/13/2023 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 01/18/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1 1/2 PCC Aggregate |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | 2137924794 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ROBERTSONS Paramount | Transportation Laboratory (TL) Number | C-0113A1 |
| 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) | 91-33-0061 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Concrete pavement | The fabricator/manufacturer designation for the sample | Mix LB060008 |
| The plant number | Paramount | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | LB060008 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-01-13-38-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-13-38-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-01-13-38-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-13-38-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-01-13-38-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-13-38-6 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-01-13-38-7 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-13-38-8 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-01-13-38-9 CTM 226-July 2010 (Verified)
