Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-02-07-5
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Project Information
| Project Identifiers | Project ID: 993484 DEA: 07325904 EFIS: 0716000091 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-87.4 |
| Award Date | 02/17/2022 |
| Closeout Date | Not set |
| Work Description | SEISMIC RETROFIT OF BRIDGE, WIDEN |
| Location Description | IN LOS ANGELES COUNTY, NEAR KERN COUNTY LINE, AT THE TEJON PASS OVERCROSSING BRIDGE NO 53-1779 |
| QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
| Sample Taken Date | 02/07/2023 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 02/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1" X #4 |
| The quantity of what the sample constitutes | 50 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 | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Hi-Grade Littlerock | Transportation Laboratory (TL) Number | C020723A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | KH102B | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0026 |
|---|---|---|---|
| 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 | Stockpile @ Yard | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | CT752F25AS | 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: 2023-02-07-5-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-02-07-5-2 CTM 227-December 2014 (Verified)