Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-03-02-66

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout Date08/01/2023
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date03/02/2022 Sample Unique Key66
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 testing03/08/2022
Sample typeDepartment Acceptance A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes40 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of sampler Telephone number of sampler12134537563
Laboratory sample identification6042 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSECURITY PAVING PORTABLE PLANT- LA MIRADA Transportation Laboratory (TL) NumberC-006553
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)91-19-0025
The fabricator's/manufacturer's product name for the sampleG3-15-STR-002 The fabricator/manufacturer designation for the sample
The plant numberLa Mirada A detailed description of where the material sample was collectedBelt Cut at Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design numberG3-15-STR-002 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-02-66-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesM. Tarafder, CT D07 - Plant Services03/09/2022Honesto Castillo
Yes
04/05/2022
2022-03-02-66-2CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingM. Tarafder, CT D07 - Plant Services03/09/2022Honesto Castillo
Yes
04/05/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-03-02-66-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-03-02-66-2 CTM 226-July 2010 (Verified)