Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-05-22-110
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993508 DEA: 070W1104 EFIS: 0721000059 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R35.9/R52.2 |
| Award Date | 04/04/2022 |
| Closeout Date | 09/24/2024 |
| Work Description | COLD PLANE OVERLAY, INDIVIDUAL REPLACEMENT SLAB AND TRAFFIC STRIPING. |
| Location Description | LOS ANGELES COUNTY FROM HIGHLAND AVENUE UNDERCROSSING IN DUARTE TO SAN ANTONIO WASH BRIDGE IN CLAREMONT. |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 05/22/2023 | Sample Unique Key | 110 |
|---|---|---|---|
| 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 | 05/22/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4 HMA aggregates |
| The quantity of what the sample constitutes | 750 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gerardo | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Telephone number of sampler | 19092087741 | |
| Laboratory sample identification | 9253 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Irwindale | Transportation Laboratory (TL) Number | C924520 |
| 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) | 91-19-0035 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA-A | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Conveyor Belt Feeding the dryer Drum | |
| Where the material sample would have been placed if not sampled | HMA MAT | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 220831 A | 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: 2023-05-22-110-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-05-22-110-2 AASHTO T176-08 (Verified)
