Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-08-07-8871

Project Information

Project IdentifiersProject ID: 3959
DEA: 072159C4
EFIS: 0700000339
DIST-CO-RTE-PM07-LA-5-001.8/003.0
Award Date08/19/2011
Closeout Date08/16/2018
Work DescriptionCARMENITA INTERCHANGE IMPROVEMENT
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM ALONDRA BOULEVARD OVERCROSSING TO SHOEMAKER AVENUE OVERCROSSING
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date08/07/2013 Sample Unique Key8871
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 testing08/07/2013
Sample typeAnnual Source Testing A brief description of the sampleRock and sand.
The quantity of what the sample constitutes29 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification3223B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameFlatiron Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Ewels Materials
The fabricator's/manufacturer's product name for the sampleLean Concrete Base The fabricator/manufacturer designation for the sampleMix
The plant numberNot set A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampledStation Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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