Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-01-27-49

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date01/27/2022 Sample Unique Key49
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 testing01/29/2022
Sample typeQuality Assurance A brief description of the sampleCMB Mixed Native
The quantity of what the sample constitutes300 cys From where was the sample collectedFabricator
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byZubieta
Title of samplerTransportation Engineer Telephone number of sampler
Laboratory sample identification5729 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlat Iron Portable @ 210 & Paxton Transportation Laboratory (TL) NumberC-924044
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)Flat Iron Base
The fabricator's/manufacturer's product name for the sampleLCB Aggregate The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt at Plant
Where the material sample would have been placed if not sampledLCB Primary Aggregate Nominal Size1 inch
The concrete mix design number3215-03 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-01-27-49-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo Zubieta, CT D07 - Plant Services01/27/2022Gerardo Zubieta
Yes
04/19/2022
2022-01-27-49-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo Zubieta, CT D07 - Plant Services01/27/2022Gerardo Zubieta
Yes
04/19/2022
2022-01-27-49-3CTM 217-June 2011: Method of Test for Sand EquivalentGerardo Zubieta, CT D07 - Plant Services01/27/2022Gerardo Zubieta
Yes
04/19/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-01-27-49-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-27-49-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-27-49-3 CTM 217-June 2011 (Verified)