Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-03-23-25

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Sample Information

Sample Taken Date03/23/2022 Sample Unique Key25
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 testing03/25/2022
Sample typeDepartment Acceptance A brief description of the sample3/8" mix
The quantity of what the sample constitutes60 cy From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler2137924794
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameROBERTSONS POMONA 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, name of Pit or Job Site)91-36-0072
The fabricator's/manufacturer's product name for the samplePCC mix The fabricator/manufacturer designation for the samplemix RRM17066
The plant numberPomona A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampledRoadway Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberRRM17066 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-23-25-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor Pham, CT D07 - Plant Services03/25/2022Victor Pham
Yes
04/07/2022
2022-03-23-25-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Victor Pham, CT D07 - Plant Services03/25/2022Victor Pham
Yes
04/07/2022
2022-03-23-25-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor Pham, CT D07 - Plant Services03/25/2022Victor Pham
Yes
04/07/2022
2022-03-23-25-4CTM 217-June 2011: Method of Test for Sand EquivalentVictor Pham, CT D07 - Plant Services03/25/2022Victor Pham
Yes
04/07/2022
2022-03-23-25-5CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingVictor Pham, CT D07 - Plant Services03/25/2022Victor Pham
Yes
04/07/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-03-23-25-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-03-23-25-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-03-23-25-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-03-23-25-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-03-23-25-5 CTM 226-July 2010 (Verified)