Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-07-15-61

Project Information

Project IdentifiersProject ID: 215221
DEA: 07332604
EFIS: 0716000287
DIST-CO-RTE-PM07-LA-10-R12.4/14.9
Award Date12/16/2020
Closeout Date11/25/2024
Work DescriptionREMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location DescriptionTHE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
QA Service Level1 (Verified on 03/19/2021)

Sample Information

Sample Taken Date07/15/2022 Sample Unique Key61
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 testing07/18/2022
Sample typeDepartment Acceptance A brief description of the sample1x4 PCC Aggregates
The quantity of what the sample constitutes70 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler2137924794
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons - Gardena Transportation Laboratory (TL) NumberC0715A1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0008
The fabricator's/manufacturer's product name for the sampleMinor concrete The fabricator/manufacturer designation for the sampleMix SC550B38
The plant numberGardena A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberSC550B38 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-07-15-61-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesA.Toledo, CT D07 - Plant Services07/28/2022Victor Pham
Yes
08/16/2022
2022-07-15-61-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)A.Toledo, CT D07 - Plant Services07/28/2022Victor Pham
Yes
08/16/2022
2022-07-15-61-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesM Tarafder, CT D07 - Plant Services07/28/2022Victor Pham
Yes
08/11/2022
2022-07-15-61-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)M Tarafder, CT D07 - Plant Services07/28/2022Victor Pham
Yes
08/11/2022
2022-07-15-61-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesA.Hernandez, CT D07 - Plant Services07/27/2022Victor Pham
Yes
08/11/2022
2022-07-15-61-6CTM 217-June 2011: Method of Test for Sand EquivalentA.Hernandez, CT D07 - Plant Services07/27/2022Victor Pham
Yes
08/11/2022
2022-07-15-61-7CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingA.Hernandez, CT D07 - Plant Services07/27/2022Victor Pham
Yes
08/16/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-07-15-61-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-07-15-61-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-07-15-61-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-07-15-61-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-07-15-61-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-07-15-61-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-07-15-61-7 CTM 226-July 2010 (Verified)