Sample Record

Owner Labs

  • CT D08 - Fontana Southern Regional Laboratory
  • CT D07 - Plant Services

DIME Sample ID 2022-04-21-38

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 Date04/21/2022 Sample Unique Key38
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 testing04/21/2022
Sample typeAcceptance A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes2 Bags of WCS From where was the sample collectedManufacturer
First name of sampler or witnessed byZaid Last name of sampler or witnessed byAbdelkhaliq
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSECURITY PAVING PORTABLE PLANT- LA MIRADA Transportation Laboratory (TL) Number
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)91-19-0025
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-21-38-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesZaid AbdelkhaliqCT D07 - Plant Services04/22/2022Zaid Abdelkhaliq
Yes
06/02/2022
2022-04-21-38-5CTM 217-June 2011: Method of Test for Sand EquivalentZaid AbdelkhaliqCT D07 - Plant Services04/21/2022Zaid Abdelkhaliq
Yes
06/02/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-21-38-4 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-21-38-5 CTM 217-June 2011 (Verified)