Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-08-16-50
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
|---|---|
| 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 | 08/16/2022 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | Acceptance | A brief description of the sample | Median |
| 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 | 22-0234 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | NA | Transportation Laboratory (TL) Number | 2202-08-16-01A |
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-08-16-50-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-16-50-2 CTM 217-June 2011 (Verified)