Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2024-06-26-46

Project Information

Project IdentifiersProject ID: 994396
DEA: 07330304
EFIS: 0716000213
DIST-CO-RTE-PM07-LA-10-22.0/30.8
Award Date10/09/2023
Closeout DateNot set
Work DescriptionCONSTRUCT CONCRETE BARRIER AND STRUCTURAL CONCRETE BARRIER SLAB.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.6 MILE EAST OF ROUTE 710/10 SEPARATION TO 0.3 MILE WEST OF ROUTE 10/605 SEPARATION
QA Service Level1 (Verified on 07/24/2023)

Sample Information

Sample Taken Date06/26/2024 Sample Unique Key46
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 testing06/27/2024
Sample typeAcceptance A brief description of the sample3/8 x No. 8 PCC Aggregate
The quantity of what the sample constitutes40 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of samplerMREAS Telephone number of sampler2134537563
Laboratory sample identification026B Linked DIME Sample ID2024-06-26-44 & 2024-06-26-47
The fabricator/manufacturer/facility nameRobertson Ready Mix Concrete-Irwindale Transportation Laboratory (TL) NumberC006800
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0072
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number13 A detailed description of where the material sample was collectedBelt Cut at Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberSC590B38 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-06-26-46-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHonesto Castillo, CT D07 - Plant Services06/27/2024Honesto Castillo
Yes
07/03/2024

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-06-26-46-1 CTM 202-November 2011 (Verified)