Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-01-07-28
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Project Information
| Project Identifiers | Project ID: 215299 DEA: 07260804 EFIS: 0712000104 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10,405-16.6/30.1,4.8/8.7 |
| Award Date | 01/29/2021 |
| Closeout Date | 03/05/2024 |
| Work Description | CONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/05/2021) |
Sample Information
| Sample Taken Date | 01/07/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 01/10/2022 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 20 CY | From where was the sample collected | Source |
| First name of sampler or witnessed by | Avo | Last name of sampler or witnessed by | Karajian |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Associated Ready Mix - Los Angeles | Transportation Laboratory (TL) Number | |
| 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) | 91-19-0054::BIG ROCK CREEK - LEBATA |
|---|---|---|---|
| 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 | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-01-07-28-1 CTM 217-June 2011 (Verified)