Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-01-26-21
Project Information
Project Identifiers | Project ID: 214620 DEA: 07309304 EFIS: 0714000281 |
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DIST-CO-RTE-PM | 07-LA-210,405,605-Various |
Award Date | 03/18/2020 |
Closeout Date | 07/26/2022 |
Work Description | REINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING. |
Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
Sample Taken Date | 01/26/2022 | Sample Unique Key | 21 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 02/02/2022 |
Sample type | Acceptance | A brief description of the sample | 1x4 pcc aggregate |
The quantity of what the sample constitutes | 50cy | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
Title of sampler | TET | Telephone number of sampler | 2137924794 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cemex | Transportation Laboratory (TL) Number | C-0126A1 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | 5749 | Structure unique identifier | |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0106::WHITE MOUNTAIN QUARRY |
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The fabricator's/manufacturer's product name for the sample | PCC mix | The fabricator/manufacturer designation for the sample | mix 1612109 |
The plant number | Los Angeles | A detailed description of where the material sample was collected | Plant Stockpile |
Where the material sample would have been placed if not sampled | barrier | Primary Aggregate Nominal Size | 1 inch |
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: 2022-01-26-21-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-26-21-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-01-26-21-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-26-21-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-01-26-21-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-26-21-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-01-26-21-7 CTM 226-July 2010 (Verified)