Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2024-01-08-31
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Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 01/08/2024 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 01/08/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 1 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 100 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Honesto | Last name of sampler or witnessed by | Castillo |
| Title of sampler | MREAS | Telephone number of sampler | 12134537563 |
| Laboratory sample identification | 01B | Linked DIME Sample ID | 2024-01-08-30; 2024-01-08-32 & 2024-01-08-33 |
| The fabricator/manufacturer/facility name | Robertson Ready Mix Concrete-Pomona | Transportation Laboratory (TL) Number | C 006755 |
| 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) | 91-33-0061 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 5 | A detailed description of where the material sample was collected | Belt Cut at Plant |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | LB060008 | 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: 2024-01-08-31-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-08-31-2 CTM 227-December 2014 (Verified)