Sample Record

Owner Labs

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

DIME Sample ID 2022-05-14-32

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date05/14/2022 Sample Unique Key32
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 testing05/17/2022
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base for LCBRS
The quantity of what the sample constitutes444 CY From where was the sample collectedJob Site
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerPlant Inspector Telephone number of sampler213-792-4793
Laboratory sample identification6474 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLB Crushing Transportation Laboratory (TL) NumberC051422
Inspector Lot Number from the Transportation Laboratory (TL) FormKH122V Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)LB Crushing: CMB / CL 2 BASE
The fabricator's/manufacturer's product name for the sampleLCBRS Mix The fabricator/manufacturer designation for the sampleFlatiron West
The plant numberFlatiron Volumetric A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberFIW 0110-1 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-05-14-32-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesM Campos, CT D07 - Plant Services05/27/2022Kevin Hopkins
Yes
07/13/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-05-14-32-1 CTM 202-November 2011 (Verified)