Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-02-02-36

Project Information

Project IdentifiersProject ID: 215164
DEA: 07317304
EFIS: 0715000237
DIST-CO-RTE-PM07-LA-60-0.0/R3.2,11.8/R21.5
Award DateNot set
Closeout DateNot set
Work DescriptionUPGRADE EXISTING OVERHEAD AND ROADSIDE SIGN PANELS.
Location DescriptionLOS ANGELS COUNTY FROM 0.4 MILE WEST OF ROUTE 5/60 SEPARATION TO ROUTE 60/710 SEPARATION AND FROM ROUTE 60/605 SEPARATION TO FAIRWAY DRIVE UNDERCROSSING
QA Service Level1 (Verified on 02/18/2021)

Sample Information

Sample Taken Date02/02/2022 Sample Unique Key36
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 testing02/02/2022
Sample typeAcceptance A brief description of the sampleCoarse and fine aggregate
The quantity of what the sample constitutesThree Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byBaher Last name of sampler or witnessed byFakhoury
Title of sampler Telephone number of sampler2137937180
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociate Ready Mix - LA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Hanson Irvine
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberSL590330 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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

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Test File Attachments