Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-01-03-13

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 Date01/03/2023 Sample Unique Key13
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 testing01/04/2023
Sample typeAcceptance A brief description of the sample1x4 PCC Aggregates
The quantity of what the sample constitutes220 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 nameRobertsons - N.Hollywood Transportation Laboratory (TL) NumberC-0103A1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0033
The fabricator's/manufacturer's product name for the sampleMinor concrete The fabricator/manufacturer designation for the sampleMix SC550M37
The plant numberN Hollywood 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 Size1 inch
The concrete mix design numberSC550M37 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-03-13-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD.Padilla, CT D07 - Plant Services01/06/2023Victor Pham
Yes
01/27/2023
2023-01-03-13-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)D.Padilla, CT D07 - Plant Services01/06/2023Victor Pham
Yes
01/27/2023
2023-01-03-13-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD.Padilla, CT D07 - Plant Services01/05/2023Victor Pham
Yes
01/27/2023
2023-01-03-13-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)D.Padilla, CT D07 - Plant Services01/05/2023Victor Pham
Yes
01/27/2023
2023-01-03-13-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD.Padilla, CT D07 - Plant Services01/05/2023Victor Pham
Yes
01/27/2023
2023-01-03-13-6CTM 217-June 2011: Method of Test for Sand EquivalentD.Padilla, CT D07 - Plant Services01/05/2023Victor Pham
Yes
01/27/2023
2023-01-03-13-7CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingD.Padilla, CT D07 - Plant Services01/05/2023Victor Pham
Yes
01/27/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-01-03-13-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-03-13-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-01-03-13-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-03-13-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-01-03-13-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-01-03-13-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-01-03-13-7 CTM 226-July 2010 (Verified)