Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2024-07-24-20

Project Information

Project IdentifiersProject ID: 994582
DEA: 073203U4
EFIS: 0722000071
DIST-CO-RTE-PM07-LA-91,605-R16.6/R16.8,R0.0/R10.4
Award Date06/20/2023
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT.
Location DescriptionLOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING
QA Service Level1 (Verified on 07/12/2023)

Sample Information

Sample Taken Date07/24/2024 Sample Unique Key20
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 testing07/25/2024
Sample typeAcceptance A brief description of the sample3/4 AC Aggregate
The quantity of what the sample constitutes750 Tons 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 identification033 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Materials Co.-Irwindale Transportation Laboratory (TL) NumberC006817
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0035
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 collectedCold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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