Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-06-17-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993387 DEA: 07323404 EFIS: 0716000064 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-R59.5/R67.9 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
| Sample Taken Date | 06/17/2022 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 testing | 06/21/2022 |
| Sample type | Verification | A brief description of the sample | LCB Aggregate |
| The quantity of what the sample constitutes | LCB-RS Mix Qualification | From where was the sample collected | Source |
| First name of sampler or witnessed by | MD | Last name of sampler or witnessed by | Shahjahan |
| Title of sampler | MREA | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Security Paving Company | 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 | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-17-19-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-17-19-2 CTM 226-July 2010 (Verified)
DIME Test ID: 2022-06-17-19-3 CTM 217-June 2011 (Verified)