DIME - Sample Record for DIME Sample ID 2022-11-17-72

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Sample Record

Owner Lab

CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2022-11-17-72

Project Information

Project Identifiers	Project ID: 993559 DEA: 120R5104 EFIS: 1218000102
DIST-CO-RTE-PM	12-ORA-5-36.1
Award Date	05/04/2022
Closeout Date	01/12/2023
Work Description	PLACE RHMA-G AND HIGH FRICTION SURFACE TREATMENT.
Location Description	ORANGE COUNTY IN ANAHEIM AT KATELLA AVENUE UNDERCROSSING
QA Service Level	1 (Verified on 03/21/2022)

Sample Information

Sample Taken Date	11/17/2022	Sample Unique Key	72
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 testing	11/20/2022
Sample type	Quality Assurance	A brief description of the sample	Calcined Bauxite Agg
The quantity of what the sample constitutes	30 lbs	From where was the sample collected	Job Site
First name of sampler or witnessed by	Andrew, Waleed	Last name of sampler or witnessed by	Ferng, Saleh
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	FX Minerals Processing, Inc.	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)	None
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	Sampled from truck
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2022-11-17-72-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Danny Chung, CT METS QASI - Los Angeles Design Build Field Laboratory	11/20/2022	Danny Chung	Yes	12/08/2022

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2022-11-17-72-1 AASHTO T27-14 (Verified)