Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-04-18-47

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 DateNot set
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 Date04/18/2022 Sample Unique Key47
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 testing04/20/2022
Sample typeAcceptance A brief description of the sample3/8 x No. 8 PCC Aggregate
The quantity of what the sample constitutes1500 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of samplerMREAS Telephone number of sampler12134537563
Laboratory sample identification6296 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSECURITY PAVING PORTABLE PLANT- LA MIRADA Transportation Laboratory (TL) NumberC-006577
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)91-33-0035
The fabricator's/manufacturer's product name for the samplePCC mix The fabricator/manufacturer designation for the sampleMix G3-19-PCC-001
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 Size3/8 inch
The concrete mix design numberG3-19-PCC-001 Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-18-47-1CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)R. JarquinCT D07 - Plant Services04/27/2022Honesto Castillo
Yes
05/17/2022
2022-04-18-47-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesR. JarquinCT D07 - Plant Services04/27/2022Honesto Castillo
Yes
05/17/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-18-47-1 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-04-18-47-2 CTM 202-November 2011 (Verified)