Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-10-12-8
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Project Information
| Project Identifiers | Project ID: 993545 DEA: 07328504 EFIS: 0716000178 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R44.7/R52.1 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | INSTALL DPP INFILTRATION AREA & CONSTRUCT MAINTENANCE VEHICLE PULLOUT |
| Location Description | LOS ANGELES COUNTY FROM 0.4 MILE EAST OF SOUTH LONE HILL AVENUE UNDERCROSSING TO COUNTY LINE |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 10/12/2022 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 10/12/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 2460 Sqft | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chad | Last name of sampler or witnessed by | Chotibhongs |
| Title of sampler | MREA | Telephone number of sampler | 213-817-0387 |
| Laboratory sample identification | 22-2708 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Chumo Construction | Transportation Laboratory (TL) Number | |
| 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 | CTM 231 Test Holes | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 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: 2022-10-12-8-1 CTM 216-June 2011 (Verified)
DIME Test ID: 2022-10-12-8-2 CTM 231-March 2013 (Verified)