Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-12-13-42

Sample is locked from editing. info

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 Date12/13/2022 Sample Unique Key42
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 testing12/14/2022
Sample typeAcceptance A brief description of the sample1x4 and WCS
The quantity of what the sample constitutes67 cy From where was the sample collectedManufacturer
First name of sampler or witnessed byVictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler2137924794
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameShort load Mobile Mixers Transportation Laboratory (TL) Number
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)91-19-0023
The fabricator's/manufacturer's product name for the samplestructural approach slab The fabricator/manufacturer designation for the sampleMix FIW 3018-A1
The plant number A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberFIW 3018-A1 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-12-13-42-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor PhamCT D07 - Plant Services12/14/2022Victor Pham
Yes
01/05/2023
2022-12-13-42-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Victor PhamCT D07 - Plant Services12/14/2022Victor Pham
Yes
01/05/2023
2022-12-13-42-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVictor PhamCT D07 - Plant Services12/14/2022Victor Pham
Yes
01/05/2023
2022-12-13-42-4CTM 217-June 2011: Method of Test for Sand EquivalentVictor PhamCT D07 - Plant Services12/14/2022Victor Pham
Yes
01/05/2023
2022-12-13-42-5CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingVictor PhamCT D07 - Plant Services12/14/2022Victor Pham
Yes
01/05/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-12-13-42-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-12-13-42-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-12-13-42-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-12-13-42-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-12-13-42-5 CTM 226-July 2010 (Verified)