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Sample Record for 2014-08-29-8

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 3951 DEA: 07202114 EFIS: 0700020869 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-17.2/26.4
Work Description: PAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location Description: LOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
Contractor Name: SHIMMICK/MYERS AND SONS JV
Contractor Address: 16481 Scientific Way, , Irvine, CA 92618
Resident Engineer: Mike Wang Structure Rep.: Alexander, Greg

Sample Information

DIME Sample ID: 2014-08-29-8
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/29/2014
Date that the sample was received by the laboratory/organization performing the testing: 09/03/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Class 3 Aggregate Base
From where was the sample collected: Other
Laboratory sample identification: 4242B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sta 1379 50

Material Information

Source Identification (SMARA or name of Pit): Atlantic Blvd Contractors Yard
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: Sta 1379 50
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.