Sample Record
Owner Labs
- CT D07 - Plant Services
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-03-16-27
Project Information
Project Identifiers | Project ID: 993491 DEA: 07336504 EFIS: 0716000401 |
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DIST-CO-RTE-PM | 07-LA-110-3.9/5.9 |
Award Date | 03/08/2022 |
Closeout Date | Not set |
Work Description | PLACE STAMPED CONCRETE, CONSTRUCT MVPS AND ACCESS ROADS. |
Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON AT VARIOUS LOCATIONS FROM 0.2 MILE SOUTH OF ROUTE 110/1 SEPARATION TO 0.4 MILE NORTH OF SEPULVEDA BOULEVARD UNDERCROSSING. |
QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
Sample Taken Date | 03/16/2023 | Sample Unique Key | 27 |
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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 testing | 03/17/2023 |
Sample type | Acceptance | A brief description of the sample | Coarse and fine aggregate |
The quantity of what the sample constitutes | Two Bags | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Baher | Last name of sampler or witnessed by | Fakhoury |
Title of sampler | Telephone number of sampler | 2137937180 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Robertson's Gardena | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0008 |
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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 | conveyor belt | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | SC270N31 | Lot number | |
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-03-16-27-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-16-27-2 CTM 227-December 2014 (Verified)