Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-01-06-36
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993828 DEA: 070W0704 EFIS: 0721000031 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-6.9/17.3 |
| Award Date | 06/27/2022 |
| Closeout Date | 10/02/2023 |
| Work Description | INDIVIDUAL SLAB REPLACEMENT. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LONG BEACH FROM ROUTE 1/710 SEPARATION TO LOS ANGELES RIVER BRIDGE |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 01/06/2023 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 01/06/2023 |
| Sample type | Department Acceptance | A brief description of the sample | three quarter inch HMA Type A |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | GERARDO | Last name of sampler or witnessed by | ZUBIETA |
| Title of sampler | Transportation Engineer | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | AAA-Irwindale | 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) | 91-33-0005 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA Aggregate | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Conveyor Belt at Plant | |
| Where the material sample would have been placed if not sampled | HMA Pavement | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 105793 | 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: 2023-01-06-36-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-01-06-36-2 AASHTO T27-14 (Verified)