Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-09-12-85
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN 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 Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 09/12/2023 | Sample Unique Key | 85 |
|---|---|---|---|
| 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 | 09/15/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1x4 PCC Aggregates |
| The quantity of what the sample constitutes | 70 cy | 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 | Cemex Walnut | 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) | 91-36-0040 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | Mix 1610838 | |
| The plant number | walnut | 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 | 1610838 | 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: 2023-09-12-85-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-09-12-85-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-09-12-85-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-09-12-85-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-09-12-85-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-09-12-85-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-09-12-85-7 CTM 226-July 2010 (Verified)
