Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2023-12-01-59
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Project Information
| Project Identifiers | Project ID: 993916 DEA: 071XU104 EFIS: 0721000158 |
|---|---|
| DIST-CO-RTE-PM | 07-LA/LA-6-15.5/15.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Remove and replace existing sign structure and sign panels including existing florescent lightine fixture, remove mercury lighting fixtures, install mulch at landscape. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/22/2022) |
Sample Information
| Sample Taken Date | 12/01/2023 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 12/01/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1x4 PCC Aggregates |
| The quantity of what the sample constitutes | 30 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 | Associate Ready Mix - LA | 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) | 91-19-0054 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | Mix 56536 | |
| The plant number | Los Angeles | 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 | 56536 DH | 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: 2023-12-01-59-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-12-01-59-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-12-01-59-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-12-01-59-4 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-12-01-59-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-12-01-59-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-12-01-59-7 CTM 226-July 2010 (Verified)