Sample Record

Owner Lab

  • CT D07 Plant Services

DIME Sample ID 2022-02-14-55

Project Information

Project IdentifiersProject ID: 214620
DEA: 07309304
EFIS: 0714000281
DIST-CO-RTE-PM07-LA-210,405,605-Various
Award Date03/18/2020
Closeout Date07/26/2022
Work DescriptionREINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date02/14/2022 Sample Unique Key55
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 testing02/18/2022
Sample typeQuality Assurance A brief description of the sample1 x 4 PCC Aggregate and Sand
The quantity of what the sample constitutes60 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 identification5944 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCEMEX LOS ANGELES Transportation Laboratory (TL) NumberC-924062
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-36-0106
The fabricator's/manufacturer's product name for the samplePCC The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedstock pile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number1612109 Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-02-14-55-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo ZubietaCT D07 Plant Services02/14/2022Gerardo Zubieta
Yes
04/27/2022
2022-02-14-55-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Gerardo ZubietaCT D07 Plant Services02/14/2022Gerardo Zubieta
Yes
04/27/2022
2022-02-14-55-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo ZubietaCT D07 Plant Services02/14/2022Gerardo Zubieta
Yes
04/27/2022
2022-02-14-55-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Gerardo ZubietaCT D07 Plant Services02/14/2022Gerardo Zubieta
Yes
04/27/2022
2022-02-14-55-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo ZubietaCT D07 Plant Services02/14/2022Gerardo Zubieta
Yes
04/27/2022
2022-02-14-55-6CTM 217-June 2011: Method of Test for Sand EquivalentGerardo ZubietaCT D07 Plant Services02/14/2022Gerardo Zubieta
Yes
04/27/2022