Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-07-10-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Sample Information

Sample Taken Date07/10/2023 Sample Unique Key19
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 testing07/10/2023
Sample typeDepartment Acceptance A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes120 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of samplerMREAS Telephone number of sampler12134537563
Laboratory sample identification35A Linked DIME Sample ID2023-07-10-20 & 2023-07-10-21
The fabricator/manufacturer/facility nameRobertson Ready Mix Concrete-Pomona Transportation Laboratory (TL) NumberC006690
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0061
The fabricator's/manufacturer's product name for the sample1 x 4 Pcc Aggregate The fabricator/manufacturer designation for the sample
The plant number5 A detailed description of where the material sample was collectedBelt Cut at Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberSC590B38 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-07-10-19-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHonesto Castillo, CT D07 - Plant Services07/11/2023Honesto Castillo
Yes
07/20/2023
2023-07-10-19-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Honesto Castillo, CT D07 - Plant Services07/11/2023Honesto Castillo
Yes
07/20/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-07-10-19-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-07-10-19-2 CTM 227-December 2014 (Verified)