Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-07-23-11

Project Information

Project IdentifiersProject ID: 993418
DEA: 07324404
EFIS: 0716000077
DIST-CO-RTE-PM07-LA-22-0.0/1.5
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE RHMA-G AND MODIFY SIGNAL AND LIGHTING SYSTEM.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH FROM ROUTE 1 TO SAN GABRIEL RIVER UNDERCROSSING
QA Service Level1 (Verified on 12/06/2021)

Sample Information

Sample Taken Date07/23/2022 Sample Unique Key11
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 testing07/26/2022
Sample typeDepartment Acceptance A brief description of the sample1x4 and WCS
The quantity of what the sample constitutes60 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 nameShort Load Concrete Anaheim Transportation Laboratory (TL) NumberC0723B1
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)91-33-0035
The fabricator's/manufacturer's product name for the sampleJPCP RSC The fabricator/manufacturer designation for the samplemix CTS-65-EHI
The plant numberShort Load Anaheim A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberCTS-65-EHI Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-07-23-11-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesA.Hernandez, CT D07 - Plant Services08/04/2022Victor Pham
Yes
08/17/2022
2022-07-23-11-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)A.Hernandez, CT D07 - Plant Services08/04/2022Victor Pham
Yes
08/17/2022
2022-07-23-11-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesA.Hernandez, CT D07 - Plant Services08/04/2022Victor Pham
Yes
08/17/2022
2022-07-23-11-4CTM 217-June 2011: Method of Test for Sand EquivalentA.Hernandez, CT D07 - Plant Services08/04/2022Victor Pham
Yes
08/17/2022
2022-07-23-11-5CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingA.Hernandez, CT D07 - Plant Services08/04/2022Victor Pham
Yes
08/17/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-07-23-11-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-07-23-11-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-07-23-11-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-07-23-11-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-07-23-11-5 CTM 226-July 2010 (Verified)