Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-02-25-27
Project Information
Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
---|---|
DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
Award Date | 11/29/2012 |
Closeout Date | 07/31/2023 |
Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
Sample Taken Date | 02/25/2022 | Sample Unique Key | 27 |
---|---|---|---|
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 | 03/02/2022 |
Sample type | Quality Assurance | A brief description of the sample | PCC Aggregate |
The quantity of what the sample constitutes | 60 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 | National Ready Mix - Sun Valley | 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) | 91-19-0046::BIG ROCK CREEK- GRANITE |
---|---|---|---|
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 | 3/8 inch | |
The concrete mix design number | S62578GBRC | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2022-02-25-27-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-25-27-2 CTM 227-December 2014 (Verified)