Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-01-21-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214524 DEA: 07304504 EFIS: 0714000067 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57-R0.0/R4.5 |
| Award Date | 06/11/2020 |
| Closeout Date | 04/03/2025 |
| Work Description | CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK. |
| Location Description | LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION |
| QA Service Level | 1 (Verified on 08/12/2020) |
Sample Information
| Sample Taken Date | 01/21/2023 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 01/24/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Washed Concrete Sand at 150 yards |
| The quantity of what the sample constitutes | 1 bag | 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 | Vanguard at the 57 Freeway | 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) | 91-19-0023 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | JPCP | The fabricator/manufacturer designation for the sample | Portable 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 | PCC SLAB | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | 690HE4X12 | 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: 2023-01-21-17-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-21-17-2 CTM 217-June 2011 (Verified)