Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-04-19-53

Project Information

Project IdentifiersProject ID: 215299
DEA: 07260804
EFIS: 0712000104
DIST-CO-RTE-PM07-LA-10,405-16.6/30.1,4.8/8.7
Award Date01/29/2021
Closeout Date03/05/2024
Work DescriptionCONSTRUCT GROSS SOLIDS REMOVAL DEVICES, BIOSWALES AND MEDIA FILTERS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 0.1 MILE WEST OF SANTA FE AVENUE TO 0.2 MILE WEST OF COGSWELL ROAD UNDERCROSSING AND ON ROUTE 405 0.1 MILE EAST OF CHEERY AVENUE OVERCROSSING TO 0.1 MILE WEST OF SOUTH ALAMEDA STREET UNDERCROSSING
QA Service Level1 (Verified on 04/05/2021)

Sample Information

Sample Taken Date04/19/2022 Sample Unique Key53
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/19/2022
Sample typeAcceptance A brief description of the sample3/8 x No. 8 PCC Aggregate
The quantity of what the sample constitutes80 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 identification17B Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Ready Mix-Gardena Premix Transportation Laboratory (TL) NumberC-006580
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)91-19-0054
The fabricator's/manufacturer's product name for the samplePCC mix The fabricator/manufacturer designation for the sampleMix 556300
The plant numberGardena 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 number556300 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-19-53-1CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Honesto Castillo, CT D07 - Plant Services04/19/2022Honesto Castillo
Yes
05/25/2022This test result is an aggregate blend of 1 x No. 4(73%, ref. Lab 17A) & 0.375 x No. 8(27%, ref. Lab 17B)
2022-04-19-53-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHonesto Castillo, CT D07 - Plant Services04/19/2022Honesto Castillo
Yes
05/25/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-19-53-1 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-04-19-53-2 CTM 202-November 2011 (Verified)