Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2024-03-09-10
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Project Information
| Project Identifiers | Project ID: 994962 DEA: 07357304 EFIS: 0719000062 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-6.6/13.1 |
| Award Date | 04/27/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE CONCRETE SLABS AND MEDIAN BARRIER, |
| Location Description | LOS ANGELES COUNTY IN SANTA FE SPRINGS, DOWNEY AND CITY OF COMMERCE FROM 0.2 MILE SOUTH OF ROUTE 5/605 SEPARATION TO 0.1 MILE NORT |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 03/09/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 05/13/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 100 cy | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | GERRY | Last name of sampler or witnessed by | ZUBIETA |
| Title of sampler | Transportation Engineer | Telephone number of sampler | 9092087741 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ROBERTSONS POMONA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | RAPID SET PAVING |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0035 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | PCC PAVING | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | stock pile | |
| Where the material sample would have been placed if not sampled | PCC SLAB REPLACEMENT | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | CTS-65-EHI | 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: 2024-03-09-10-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-03-09-10-2 CTM 227-December 2014 (Verified)