Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-01-06-55
Project Information
Project Identifiers | Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 |
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DIST-CO-RTE-PM | 07-LA-210-R0.0/R9.7 |
Award Date | 04/03/2020 |
Closeout Date | 06/06/2024 |
Work Description | PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL. |
Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 06/05/2020) |
Sample Information
Sample Taken Date | 01/06/2022 | Sample Unique Key | 55 |
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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 | 01/06/2022 |
Sample type | Quality Assurance | A brief description of the sample | 1 x 4 PCC Aggregate |
The quantity of what the sample constitutes | 250 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | GERARDO | Last name of sampler or witnessed by | ZUBIETA |
Title of sampler | Transportation Engineer | Telephone number of sampler | 2137924795 |
Laboratory sample identification | C-924023 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Flat Iron | Transportation Laboratory (TL) Number | 5554 |
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::DURBIN |
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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 | stock pile | |
Where the material sample would have been placed if not sampled | PCC SLAB | Primary Aggregate Nominal Size | 1 inch |
The concrete mix design number | FWI 3018-A1 | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |