Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-11-02-69
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994780 DEA: 070W3304 EFIS: 0721000265 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-19.5/29.5 |
| Award Date | 06/30/2023 |
| Closeout Date | Not set |
| Work Description | LOS ANGELES COUNTY FROM EVERGREEN AVENUE PEDESTRIAN OVERCROSSING IN LOS ANGELES TO VALLEY BOULEVARD UNDERCROSSING IN EL MONTE |
| Location Description | DIGOUTS, SLURRY SEAL, COLD PLANE OVERLAY, |
| QA Service Level | 1 (Verified on 06/07/2023) |
Sample Information
| Sample Taken Date | 11/02/2023 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 11/07/2023 |
| Sample type | Acceptance | A brief description of the sample | Fine Aggregate |
| The quantity of what the sample constitutes | One Bag | From where was the sample collected | Job Site |
| 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 | 8555 Hellman Ave, Rosemead | 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 |
|---|---|---|---|
| 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 | Ground Pile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-11-02-69-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-11-02-69-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-11-02-69-3 CTM 226-July 2010 (Verified)