Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-04-05-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994297 DEA: 07336804 EFIS: 0717000014 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-118-R4.5/R9.1 |
| Award Date | 11/17/2022 |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE AND INSTALL RAILINGS. |
| Location Description | THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF TAMPA AVENUE TO WOODLEY AVENUE |
| QA Service Level | 1 (Verified on 10/06/2022) |
Sample Information
| Sample Taken Date | 04/05/2024 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 04/05/2024 |
| Sample type | Department Acceptance | A brief description of the sample | Structure Backfill Material |
| The quantity of what the sample constitutes | NA | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Arian | Last name of sampler or witnessed by | Angha |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | |
| Laboratory sample identification | 24-051 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martinez landscaping | Transportation Laboratory (TL) Number | 876031 |
| 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) | NA |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Martinez Landscaping | The fabricator/manufacturer designation for the sample | |
| The plant number | NA | A detailed description of where the material sample was collected | stock pile |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | NA | 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: 2024-04-05-27-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-04-05-27-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-04-05-27-3 CTM 226-July 2010 (Verified)