Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-10-12-7

Project Information

Project IdentifiersProject ID: 7428
DEA: 07215944
EFIS: 0700001834
DIST-CO-RTE-PM07-LA-5-4.0/5.9
Award Date08/23/2012
Closeout Date07/02/2021
Work DescriptionRECONSTRUCT AND WIDEN FREEWAY AND UNDERCROSSING STRUCTURES.
Location DescriptionLOS ANGELES COUNTY IN NORWALK FROM 0.4 MILE SOUTH OF SAN ANTONIO DRIVE UNDERCROSSING TO 0.7 MILE NORTH OF PIONEER BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/07/2012)

Sample Information

Sample Taken Date10/12/2015 Sample Unique Key7
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 testing10/28/2015
Sample typeVerification A brief description of the sampleLCB
The quantity of what the sample constitutes25 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification5268B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility name25th Street Crushing Plant Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedThe Belt from 25th Street Crushing Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.