Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-03-25-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213738
DEA: 07303504
EFIS: 0714000007
DIST-CO-RTE-PM07-VEN-23-0.0/R3.3
Award Date01/09/2019
Closeout Date11/02/2020
Work DescriptionCOLD PLANE & OVERLAY ASPHALT CONCRETE PAVEMENT AND UPGRADE CURB RAMPS.
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS FROM CARLISLE ROAD TO ROUTE 101
QA Service Level1 (Verified on 11/02/2020)

Sample Information

Sample Taken Date03/25/2019 Sample Unique Key19
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 testing04/02/2019
Sample typeAnnual Source Testing A brief description of the sample3/8" PCC Gravels
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byHarrison Last name of sampler or witnessed byKain
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Moorpark Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-56-0014::MOORPARK
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-25-19-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanny FerrerCT - Southern Regional Laboratory04/10/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-03-25-19-7CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateLarry DiazCT - Southern Regional Laboratory04/11/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-03-25-19-8CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineDanny FerrerCT - Southern Regional Laboratory04/11/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-03-25-19-9CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNader Rashidi-GhaderCT - Southern Regional Laboratory04/19/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-03-25-19-10CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Danny FerrerCT - Southern Regional Laboratory04/10/2019Nader Rashidi-Ghader
Yes
04/30/2019