Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2024-06-03-38
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Project Information
| Project Identifiers | Project ID: 995085 DEA: 07322904 EFIS: 0716000059 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-27-0.0/18.6 |
| Award Date | 11/06/2023 |
| Closeout Date | Not set |
| Work Description | REMOVE EXISTING AC PAVEMENT & HMA OVERLAY. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET |
| QA Service Level | 1 (Verified on 09/11/2023) |
Sample Information
| Sample Taken Date | 06/03/2024 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 06/04/2024 |
| Sample type | Acceptance | A brief description of the sample | 1" X #4 |
| The quantity of what the sample constitutes | 2 bags of aggregate | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Avo | Last name of sampler or witnessed by | Karajian |
| Title of sampler | Plant Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | SHORTLOAD CONCRETE INC | 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) | 91-19-0025 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | LCBRS Mix & RSC Mix | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile | |
| 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: 2024-06-03-38-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-06-03-38-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2024-06-03-38-5 CTM 217-June 2011 (Verified)