Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-04-03-34

Project Information

Project IdentifiersProject ID: 994267
DEA: 07326204
EFIS: 0716000113
DIST-CO-RTE-PM07-LA-39-17.8
Award Date11/23/2022
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE, PLACE STRUCTURAL STEEL AND CONCRETE BARRIER.
Location DescriptionLOS ANGELES COUNTY IN AZUSA AT SAN GABRIEL RIVER BRIDGE
QA Service Level1 (Verified on 10/06/2022)

Sample Information

Sample Taken Date04/03/2023 Sample Unique Key34
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 testing04/04/2023
Sample typeAcceptance A brief description of the sample3/4 AC Aggregate
The quantity of what the sample constitutes140 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of samplerMREAS Telephone number of sampler12134537563
Laboratory sample identification010 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Materials Company Sun Valley Transportation Laboratory (TL) NumberC006658
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)91-19-0035
The fabricator's/manufacturer's product name for the sample3/4 HMA Type A The fabricator/manufacturer designation for the sampleMix 220826
The plant numberSun Valley A detailed description of where the material sample was collectedStorage Bin
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments