Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-03-10-22
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214819 DEA: 07288304 EFIS: 0700021024 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60,60,164,210-Var |
| Award Date | 03/01/2021 |
| Closeout Date | 10/02/2023 |
| Work Description | STORM WATER MITIGATION |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 06/30/2021) |
Sample Information
| Sample Taken Date | 03/10/2022 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 03/11/2022 |
| Sample type | Acceptance | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 100 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Honesto | Last name of sampler or witnessed by | Castillo |
| Title of sampler | Telephone number of sampler | 12134537563 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertsons Ready Mix Concrete-Irwindale | Transportation Laboratory (TL) Number | C-006557 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 6068 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | SMARA 91-33-0061 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | LCB | The fabricator/manufacturer designation for the sample | SC270N31 |
| The plant number | 13 | A detailed description of where the material sample was collected | Belt Cut at Plant |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | SC270N31 | 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: 2022-03-10-22-1 ASTM C136-19 (Verified)
DIME Test ID: 2022-03-10-22-2 ASTM D2419-09 (Verified)