Sample Record

Owner Lab

  • Cemex - Central & Southern California

DIME Sample ID 2019-03-08-16

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date03/08/2019 Sample Unique Key16
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/08/2019
Sample typeAnnual Source Testing A brief description of the sample1" x #4
The quantity of what the sample constitutesAnnual production From where was the sample collectedSource
First name of sampler or witnessed byGreg Last name of sampler or witnessed byVinson
Title of samplerTechnical Services Area Manager Telephone number of sampler(510)378-2044
Laboratory sample identification2019-01B Linked DIME Sample ID
The fabricator/manufacturer/facility nameWhite Mountain-Victorville Transportation Laboratory (TL) NumberDistrict 12
Inspector Lot Number from the Transportation Laboratory (TL) Form2019-01B Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-36-0106
The fabricator's/manufacturer's product name for the sample1 x 4 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBelt cut of Coarse and Fine Aggregate at Source
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-08-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesCuong PhamCemex - Central & Southern California03/08/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-16-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateCuong PhamCemex - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-16-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineCuong PhamCemex - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-16-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Cuong PhamCemex - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-16-5CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateLoi NguyenCemex - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019