Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-12-16-6
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Project Information
| Project Identifiers | Project ID: 993116 DEA: 07320004 EFIS: 0716000029 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-14-R31.4/36.5 |
| Award Date | 09/08/2021 |
| Closeout Date | 11/01/2023 |
| Work Description | INSTALL WIRED MESH DRAPERY SYSTEM AND SLOPE AND ROADSIDE PAVING. |
| Location Description | LOS ANGELES COUNTY IN SANTA CLARITA FROM CANYON PARK BOULEVARD UNDERCROSSING TO SPRING CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 12/16/2022 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 12/16/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1" X #4 |
| The quantity of what the sample constitutes | 80 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
| Title of sampler | Plant Inspector | Telephone number of sampler | |
| Laboratory sample identification | KH101A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | National RM Santa Clarita | Transportation Laboratory (TL) Number | C121622A |
| 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) | 91-19-0046 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | National RM Santa Clarita | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | S54001 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-12-16-6-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-12-16-6-2 CTM 227-December 2014 (Verified)