Sample Record

Owner Lab

  • Coreslab

DIME Sample ID 2023-07-06-119

Project Information

Project IdentifiersProject ID: 214697
DEA: 07307104
EFIS: 0714000213
DIST-CO-RTE-PM07-LA-101-32.8
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING
QA Service Level1 (Verified on 07/12/2021)

Sample Information

Sample Taken Date07/06/2023 Sample Unique Key119
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 testing07/06/2023
Sample typeQuality Control A brief description of the sample3/8" GRAVEL
The quantity of what the sample constitutes1 WEEK From where was the sample collectedManufacturer
First name of sampler or witnessed byEddie Last name of sampler or witnessed bySandoval
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoreslab Structures L.A., Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier53-3104
Structure nameLIBERTY CANYON WILDLIFE CROSSING

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Vulcan Corona
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 collectedBIN
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number2251-1 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-07-06-119-1ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse AggregatesEddie Sandoval, Coreslab07/06/2023Brandon Malott
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-07-06-119-1 ASTM C136-19