Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-08-18-79
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215221 DEA: 07332604 EFIS: 0716000287 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-R12.4/14.9 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING. |
| Location Description | THE 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 Level | 1 (Verified on 03/19/2021) |
Sample Information
| Sample Taken Date | 08/18/2022 | Sample Unique Key | 79 |
|---|---|---|---|
| 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 | 08/22/2022 |
| Sample type | Acceptance | A brief description of the sample | 1x4 PCC Aggregates |
| The quantity of what the sample constitutes | 150 Cy | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | 2137924794 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Robertson's Gardena | Transportation Laboratory (TL) Number | C-0818B1 |
| 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) | 91-33-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Minor concrete | The fabricator/manufacturer designation for the sample | Mix SC550M37 |
| The plant number | Gardena | 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 | SC550M37 | 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: 2022-08-18-79-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-18-79-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-08-18-79-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-18-79-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-08-18-79-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-18-79-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-08-18-79-7 CTM 226-July 2010 (Verified)