Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-08-30-60

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date08/30/2022 Sample Unique Key60
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 testing09/02/2022
Sample typeAcceptance A brief description of the samplePCC Aggregate
The quantity of what the sample constitutes3 Bags of Aggregates From where was the sample collectedSource
First name of sampler or witnessed byAvo Last name of sampler or witnessed byKarajian
Title of samplerTET Telephone number of sampler12137986076
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Ready Mix - North Hollywood Transportation Laboratory (TL) Number
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)91-19-0033
The fabricator's/manufacturer's product name for the sampleRobertsons Palmdale The fabricator/manufacturer designation for the sample
The plant number 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 Size3/8 inch
The concrete mix design numberSC550M37 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-08-30-60-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAvo Karajian, CT D07 - Plant Services09/02/2022Avo Karajian
Yes
09/13/2022
2022-08-30-60-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Avo Karajian, CT D07 - Plant Services09/02/2022Avo Karajian
Yes
09/13/2022

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-08-30-60-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-30-60-2 CTM 227-December 2014 (Verified)