Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-06-01-63

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
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 Date06/01/2022 Sample Unique Key63
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 testing06/06/2022
Sample typeQuality Assurance A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes250 cy From where was the sample collectedFabricator
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byZubieta
Title of samplerTRANSPORTATION ENGINEER CIVIL Telephone number of sampler
Laboratory sample identification6678 Linked DIME Sample ID
The fabricator/manufacturer/facility nameFlat Iron Portable @ 210 & Paxton Transportation Laboratory (TL) NumberC-924169
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)91-19-0023
The fabricator's/manufacturer's product name for the sampleJPCP The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt feeding weight hopper at the Plant
Where the material sample would have been placed if not sampledPCC SLAB Primary Aggregate Nominal Size1 inch
The concrete mix design numberJPCP-3215-06 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-01-63-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo Zubieta, CT D07 - Plant Services06/01/2022Gerardo Zubieta
Yes
09/19/2022
2022-06-01-63-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo Zubieta, CT D07 - Plant Services06/01/2022Gerardo Zubieta
Yes
09/19/2022
2022-06-01-63-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGerardo Zubieta, CT D07 - Plant Services06/01/2022Gerardo Zubieta
Yes
09/19/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-06-01-63-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-01-63-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-01-63-3 CTM 202-November 2011 (Verified)