DIME - Sample Record for DIME Sample ID 2023-03-07-5

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Sample Record

Owner Lab

Kleinfelder, Incorporated - Los Angeles

DIME Sample ID 2023-03-07-5

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Project Information

Project Identifiers	Project ID: 214451 DEA: 07303704 EFIS: 0714000035
DIST-CO-RTE-PM	07-LA-101-8.0/27.3
Award Date	12/19/2019
Closeout Date	05/07/2024
Work Description	REPLACE CONCRETE BARRIERS.
Location Description	THE CITY AND COUNTY OF LOS ANGELES FROM PILGRIMAGE OVERCROSSING TO VALLEY CIRCLE BOULEVARD OVERCROSSING
QA Service Level	1 (Verified on 08/12/2020)

Sample Information

Sample Taken Date	03/07/2023	Sample Unique Key	5
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	03/07/2023
Sample type	Quality Assurance	A brief description of the sample	1 x 4 PCC Aggregate
The quantity of what the sample constitutes	40 CY	From where was the sample collected	Supplier
First name of sampler or witnessed by	Hussaya	Last name of sampler or witnessed by	Leelakitrungruang
Title of sampler	Field Materials Tester	Telephone number of sampler	6265343017
Laboratory sample identification	PIR-23-03-001	Linked DIME Sample ID
The fabricator/manufacturer/facility name	National Ready Mix - Canoga Park	Transportation Laboratory (TL) Number
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)	91-19-0046
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number		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 inch
The concrete mix design number	S58522	Lot number
Sublot number		Aggregate Mix Number

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2023-03-07-5-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Hussaya Leelakitrungruang, Kleinfelder, Incorporated - Los Angeles	03/08/2023	Jeff Diaz	Yes	03/08/2023
2023-03-07-5-2	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Hussaya Leelakitrungruang, Kleinfelder, Incorporated - Los Angeles	03/08/2023	Jeff Diaz	Yes	03/08/2023
2023-03-07-5-3	CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying	Hussaya Leelakitrungruang, Kleinfelder, Incorporated - Los Angeles	03/08/2023	Jeff Diaz	Yes	03/08/2023
2023-03-07-5-4	CTM 217-June 2011: Method of Test for Sand Equivalent	Hussaya Leelakitrungruang, Kleinfelder, Incorporated - Los Angeles	03/08/2023	Jeff Diaz	Yes	03/08/2023
2023-03-07-5-5	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	Hussaya Leelakitrungruang, Kleinfelder, Incorporated - Los Angeles	03/08/2023	Jeff Diaz	Yes	03/08/2023

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2023-03-07-5-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-07-5-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-07-5-3 CTM 226-July 2010 (Verified)
DIME Test ID: 2023-03-07-5-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-03-07-5-5 CTM 227-December 2014 (Verified)