Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-10-25-14

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 Date10/25/2022 Sample Unique Key14
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 testing10/25/2022
Sample typeAcceptance A brief description of the sample3/8" X #8
The quantity of what the sample constitutes350 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerPlant Inspector Telephone number of sampler
Laboratory sample identificationKH128BB Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson's Ready Mix - North Hollywood Transportation Laboratory (TL) NumberC102522B
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0033
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number22 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 Number

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-10-25-14-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKevin HopkinsCT D07 - Plant Services10/26/2022Kevin Hopkins
Yes
10/28/2022
2022-10-25-14-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Kevin HopkinsCT D07 - Plant Services10/26/2022Kevin Hopkins
Yes
10/28/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-10-25-14-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-10-25-14-2 CTM 227-December 2014 (Verified)