Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2022-10-12-9
Project Information
Project Identifiers | Project ID: 993545 DEA: 07328504 EFIS: 0716000178 |
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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 | 9 |
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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 | 10/12/2022 |
Sample type | Department Acceptance | A brief description of the sample | Class 2 Aggregate Base |
The quantity of what the sample constitutes | 3000 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 | 22-2710 | 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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-12-9-1 CTM 216-June 2011 (Verified)
DIME Test ID: 2022-10-12-9-2 CTM 231-March 2013 (Verified)