Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-04-29-9

Project Information

Project IdentifiersProject ID: 993913
DEA: 071XU204
EFIS: 0721000159
DIST-CO-RTE-PM07-LA/LA-110-14.2/25.67
Award Date04/04/2022
Closeout Date01/29/2024
Work DescriptionRemove and replace existing sign structure and sign panels including existing florescent lightine fixture, remove mercury lighting fixtures, install mulch at landscape.
Location DescriptionNot set
QA Service Level1 (Verified on 09/22/2022)

Sample Information

Sample Taken Date04/29/2023 Sample Unique Key9
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 testing05/03/2023
Sample typeAcceptance A brief description of the sample3/8 and sand
The quantity of what the sample constitutes50 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 - Gardena Transportation Laboratory (TL) Number0429A2
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)91-33-0008
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the samplemix RRM 10069
The plant numberGardena 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 Size3/8 inch
The concrete mix design numberRRM 10069 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-29-9-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesL.D, CT D07 - Plant Services05/11/2023Victor Pham
Yes
05/24/2023
2023-04-29-9-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)L.D, CT D07 - Plant Services05/11/2023Victor Pham
Yes
05/24/2023
2023-04-29-9-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesL.D, CT D07 - Plant Services05/11/2023Victor Pham
Yes
05/24/2023
2023-04-29-9-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingL.D, CT D07 - Plant Services05/11/2023Victor Pham
Yes
05/24/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-29-9-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-04-29-9-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-04-29-9-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-04-29-9-4 CTM 226-July 2010 (Verified)