Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-05-07-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214671 DEA: 07303904 EFIS: 0714000044 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-31.2/37.2 |
| Award Date | 11/25/2020 |
| Closeout Date | 10/11/2023 |
| Work Description | LANE REPLACEMENT |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE EAST OF THE 10/605 SEPARATION TO 0.3 MILE WEST OF CITRUS STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/21/2021) |
Sample Information
| Sample Taken Date | 05/07/2022 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 testing | 05/10/2022 |
| Sample type | Department Acceptance | A brief description of the sample | LCB |
| The quantity of what the sample constitutes | 710 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Zaid | Last name of sampler or witnessed by | Abdelkhaliq |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | SECURITY PLANT LA-MIRADA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | LCB - Recycled |
|---|---|---|---|
| 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 collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | G3-22-LRS-271R | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-05-07-19-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-05-07-19-2 CTM 217-June 2011 (Verified)