Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-08-29-91
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 211599 DEA: 07309404 EFIS: 0714000282 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R47.7/R47.9 |
| Award Date | 09/20/2016 |
| Closeout Date | 07/05/2017 |
| Work Description | PLACE HIGH FRICTION SURFACE TREATMENT. |
| Location Description | LOS ANGELES COUNTY NEAR SANTA CLARITA AT GAVIN CANYON UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/29/2016) |
Sample Information
| Sample Taken Date | 08/29/2022 | Sample Unique Key | 91 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/30/2022 |
| Sample type | Department Acceptance | A brief description of the sample | LCB |
| The quantity of what the sample constitutes | 100 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Luis | Last name of sampler or witnessed by | Acosta |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Flatiron Paxton | 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) | LB Crushing: CMB / CL 2 BASE |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 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: 2022-08-29-91-1 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-08-29-91-2 CTM 202-November 2011 (Verified)