Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2024-06-03-77
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Project Information
| Project Identifiers | Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-605-20.2/26 |
| Award Date | 04/12/2023 |
| Closeout Date | Not set |
| Work Description | INDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC |
| Location Description | LOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION |
| QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
| Sample Taken Date | 06/03/2024 | Sample Unique Key | 77 |
|---|---|---|---|
| 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 | 1x4 and WCS |
| The quantity of what the sample constitutes | 8 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 | Peterson Chase | 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 and 91-33-0035 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | mix CTS-65-EHI | |
| The plant number | peterson chase | A detailed description of where the material sample was collected | Stockpile @ Plant |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | CTS-65-EHI | 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: 2024-06-03-77-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-06-03-77-2 CTM 227-December 2014 (Verified)
DIME Test ID: 2024-06-03-77-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-06-03-77-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-06-03-77-5 CTM 226-July 2010 (Verified)