Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-08-15-44
Project Information
Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
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DIST-CO-RTE-PM | 07-LA-I-5-45.4/54 |
Award Date | 07/01/2021 |
Closeout Date | Not set |
Work Description | Addition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley |
Location Description | The I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd. |
QA Service Level | 2 (Verified on 02/03/2021) |
Sample Information
Sample Taken Date | 08/15/2022 | Sample Unique Key | 44 |
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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 | 08/17/2022 |
Sample type | Department Acceptance | A brief description of the sample | Class 3 Aggregate Base |
The quantity of what the sample constitutes | NA | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Tellez |
Title of sampler | S2 Technician | Telephone number of sampler | |
Laboratory sample identification | 22-0233 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | 2202-08-15-01 |
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) | NA |
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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 | Median | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-08-15-44-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-15-44-2 CTM 217-June 2011 (Verified)