Sample Record

Owner Lab

  • CEMEX - Central & Southern California

DIME Sample ID 2019-03-08-17

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 Key17
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 sample3/8" x #8
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 identification2019-01C Linked DIME Sample ID2019-03-08-16
The fabricator/manufacturer/facility nameWhite Mountain-Victorville Transportation Laboratory (TL) NumberD-12
Inspector Lot Number from the Transportation Laboratory (TL) Form2019-01C Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0106::WHITE MOUNTAIN QUARRY
The fabricator's/manufacturer's product name for the sample3/8 x 8 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 Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-08-17-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesCuong Pham, CEMEX - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-17-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateVictor Pham, CEMEX - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-17-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineVictor Pham, CEMEX - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-17-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateLoi Nguyen, CEMEX - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019
2019-03-08-17-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Cuong Pham, CEMEX - Central & Southern California03/20/2019Gregory Vinson
Yes
03/29/2019

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2019-03-08-17-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-03-08-17-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2019-03-08-17-3 CTM 211-May 2010 (Verified)
DIME Test ID: 2019-03-08-17-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2019-03-08-17-5 CTM 227-December 2014 (Verified)