Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-07-20-43
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215314 DEA: 07333004 EFIS: 0716000298 |
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DIST-CO-RTE-PM | 07-LA-5,5-15.1/22.9 |
Award Date | 10/20/2022 |
Closeout Date | Not set |
Work Description | PROJECT PILOT 1 |
Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES ON ROUTE 5 FROM 0.1 MILE SOUTH OF CALZONA STREET TO 0.1 MILE SOUTH OF RIVERSIDE DRIVE AND ROUTE 2 AT LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 07/20/2023 | Sample Unique Key | 43 |
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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 | 07/27/2023 |
Sample type | Acceptance | A brief description of the sample | 1x4 PCC Aggregates |
The quantity of what the sample constitutes | 50 cy | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | victor | Last name of sampler or witnessed by | Pham |
Title of sampler | Telephone number of sampler | 2137924794 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | National Vernon | 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) | 91-19-0052 |
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The fabricator's/manufacturer's product name for the sample | Concrete backfill | The fabricator/manufacturer designation for the sample | mix S63C653T1 |
The plant number | Vernon | A detailed description of where the material sample was collected | Converyor Belt |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | S63C653T1 | 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: 2023-07-20-43-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-07-20-43-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-07-20-43-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-07-20-43-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-07-20-43-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-07-20-43-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-07-20-43-7 CTM 226-July 2010 (Verified)