Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-06-20-4
Project Information
Project Identifiers | Project ID: 215456 DEA: 07293604 EFIS: 0713000238 |
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DIST-CO-RTE-PM | 07-LA-405-14.3/15.8 |
Award Date | 05/26/2021 |
Closeout Date | Not set |
Work Description | CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS. |
Location Description | LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET |
QA Service Level | 1 (Verified on 07/07/2021) |
Sample Information
Sample Taken Date | 06/20/2022 | Sample Unique Key | 4 |
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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 | 06/20/2022 |
Sample type | Acceptance | A brief description of the sample | Washed Concrete Sand |
The quantity of what the sample constitutes | 150 CY | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Honesto | Last name of sampler or witnessed by | Castillo |
Title of sampler | MREAS | Telephone number of sampler | 12134537563 |
Laboratory sample identification | 31C | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Cemex Ready Mix Concrete-Inglewood | Transportation Laboratory (TL) Number | C-006602 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0023 |
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The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | mix 1612109 | |
The plant number | Inglewood | A detailed description of where the material sample was collected | Plant Stockpile |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
The concrete mix design number | 1612109 | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-06-20-4-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-20-4-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-20-4-3 CTM 226-July 2010 (Verified)