Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2024-01-16-7
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993782 DEA: 07339604 EFIS: 0717000157 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-14-R29.0/R29.5 |
| Award Date | 07/06/2022 |
| Closeout Date | 11/05/2025 |
| Work Description | CONSTRUCT SLOPE BETTERMENT. |
| Location Description | LOS ANGELES COUNTY IN SANTA CLARITA FROM 0.9 MILE NORTH OF PLACERITA CANYON ROAD UNDERCROSSING TO 0.2 MILE SOUTH OF GOLDEN VALLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 01/16/2024 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 01/16/2024 |
| Sample type | Department Acceptance | A brief description of the sample | WCS PCC Aggregate |
| The quantity of what the sample constitutes | 120 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
| Title of sampler | Plant Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | National RM Santa Clarita | Transportation Laboratory (TL) Number | C011624B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | KH101A | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0046::BIG ROCK CREEK- GRANITE |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | National RM Santa Clarita | 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 | fine | |
| The concrete mix design number | S72E250T7 | 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: 2024-01-16-7-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-16-7-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-01-16-7-3 CTM 226-July 2010 (Verified)
