Sample Record
Owner Lab
- Alta Vista Solutions - Whittier
DIME Sample ID 2024-06-28-99
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 |
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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 | 06/28/2024 | Sample Unique Key | 99 |
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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 | 06/28/2024 |
Sample type | Quality Assurance | A brief description of the sample | Native Material |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Dominic | Last name of sampler or witnessed by | Montemayor |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 24-1674 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | N/A | 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) | N/A |
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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 collected | CTM 231 Test Holes | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-06-28-99-1 CTM 231-March 2013 (Verified)
DIME Test ID: 2024-06-28-99-2 CTM 216-June 2011 (Verified)