Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-08-23-77
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994649 DEA: 070W4204 EFIS: 0722000051 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-170-R14.5/R20.6 |
| Award Date | 06/16/2023 |
| Closeout Date | 06/09/2025 |
| Work Description | SLURRY SEAL AND REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM JUNCTION ROUTE 134 TO ROUTE 170/5 SEPARATION |
| QA Service Level | 1 (Verified on 07/24/2023) |
Sample Information
| Sample Taken Date | 08/23/2023 | Sample Unique Key | 77 |
|---|---|---|---|
| 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 | 08/24/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4 HMA-A |
| The quantity of what the sample constitutes | 780 tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | victor | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | 2137924794 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | AAA Irwindale | 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) | 91-33-0005 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA-A | The fabricator/manufacturer designation for the sample | Mix 105793 |
| The plant number | Irwindale | A detailed description of where the material sample was collected | Belt Discharge |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 105793 | 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: 2023-08-23-77-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-08-23-77-2 AASHTO T11-5 (Verified)
DIME Test ID: 2023-08-23-77-3 AASHTO T176-08 (Verified)
