Sample Record

Owner Lab

  • CT D07 Plant Services

DIME Sample ID 2022-03-02-77

Project Information

Project IdentifiersProject ID: 214620
DEA: 07309304
EFIS: 0714000281
DIST-CO-RTE-PM07-LA-210,405,605-Various
Award Date03/18/2020
Closeout Date07/26/2022
Work DescriptionREINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date03/02/2022 Sample Unique Key77
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 testing03/02/2022
Sample typeAcceptance A brief description of the sampleWCS
The quantity of what the sample constitutes40 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 nameCemex LA 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)91-19-0023
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 collectedwcs
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-03-02-77-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesZaid AbdelkhaliqCT D07 Plant Services02/02/2022Zaid Abdelkhaliq
Yes
06/01/2022
2022-03-02-77-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingZaid AbdelkhaliqCT D07 Plant Services03/02/2022Zaid Abdelkhaliq
Yes
06/03/2022