Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-04-08-1
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Project Information
| Project Identifiers | Project ID: 993844 DEA: 070W1004 EFIS: 0721000043 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-31.8/42.6 |
| Award Date | 06/28/2022 |
| Closeout Date | Not set |
| Work Description | PLACE RUBBERIZED HMA (GAP GRADED) |
| Location Description | LOS ANGELES COUNTY IN BURBANK AND LOS ANGELES FROM COHASSET STREET UNDERCROSSING TO ROXFORD STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/20/2022) |
Sample Information
| Sample Taken Date | 04/08/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/08/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1" X #4 |
| The quantity of what the sample constitutes | 145 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
| Title of sampler | Plant Inspector | Telephone number of sampler | |
| Laboratory sample identification | KH101A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | G.L. Throop Volumetric | Transportation Laboratory (TL) Number | C040823A |
| 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) | 91-33-0035 |
|---|---|---|---|
| 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 | Stockpile @ Yard | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 2010-007 | 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: 2023-04-08-1-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-04-08-1-2 CTM 227-December 2014 (Verified)