Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-12-07-2
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Project Information
| Project Identifiers | Project ID: 215314 DEA: 07333004 EFIS: 0716000298 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,5-15.1/22.9 |
| Award Date | 10/20/2022 |
| Closeout Date | 08/20/2025 |
| Work Description | PROJECT PILOT 1 |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES ON ROUTE 5 FROM 0.1 MILE SOUTH OF CALZONA STREET TO 0.1 MILE SOUTH OF RIVERSIDE DRIVE AND ROUTE 2 AT LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 12/07/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 12/07/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1 x 4 PCC Aggregate and Sand |
| The quantity of what the sample constitutes | 50 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Honesto | Last name of sampler or witnessed by | Castillo |
| Title of sampler | MREAS | Telephone number of sampler | 12134537563 |
| Laboratory sample identification | 58A | Linked DIME Sample ID | 2023-12-07-3 & 2023-12-07-4 |
| The fabricator/manufacturer/facility name | National Ready Mix Concrete-Vernon | Transportation Laboratory (TL) Number | C 006738 |
| 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) | 91-19-0052 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 144 | A detailed description of where the material sample was collected | Belt Cut at Plant |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | S73C445T15 | 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: 2023-12-07-2-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-12-07-2-2 CTM 227-December 2014 (Verified)