Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-01-14-45
Project Information
Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
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DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
Award Date | 05/27/2016 |
Closeout Date | 08/01/2023 |
Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
Location Description | LOS 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 Level | 1 (Verified on 03/16/2016) |
Sample Information
Sample Taken Date | 01/14/2022 | Sample Unique Key | 45 |
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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 | 01/14/2022 |
Sample type | Department Acceptance | A brief description of the sample | 1x4 |
The quantity of what the sample constitutes | 700 | 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 PAYMENT -LA MERIDA | 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) | 91-33-0035 |
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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 | 1 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-01-14-45-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-14-45-2 CTM 227-December 2014 (Verified)