Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-04-20-56

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 DateNot set
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 Date04/20/2022 Sample Unique Key56
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 testing04/27/2022
Sample typeDepartment Acceptance A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes32 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 identification6323 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Ready Mix-Sun Valley Transportation Laboratory (TL) NumberC-006582
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 samplePCC mix The fabricator/manufacturer designation for the sampleMix 556300
The plant numberSun Valley 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 Size1 inch
The concrete mix design number556300 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-20-56-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD. Padilla, CT D07 - Plant Services05/03/2022Honesto Castillo
Yes
06/02/2022
2022-04-20-56-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)D. Padilla, CT D07 - Plant Services05/03/2022Honesto Castillo
Yes
06/02/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-04-20-56-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-20-56-2 CTM 227-December 2014 (Verified)