Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-04-25-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213690
DEA: 07312804
EFIS: 0715000069
DIST-CO-RTE-PM07-LA-14-R35.0/R53.5
Award Date01/11/2019
Closeout Date09/23/2021
Work DescriptionCONSTRUCT STORM WATER TREATMENT BMP AND DRAINAGE SYSTEM
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.7 MILE SOUTH OF SOLEDAD CANYON ROAD UNDERCROSSING TO 0.3 MILE SOUTH OF MOUNTAIN SPRINGS ROAD OVERCROSSING
QA Service Level1 (Verified on 07/26/2019)

Sample Information

Sample Taken Date04/25/2019 Sample Unique Key21
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 testing04/25/2019
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byPaul Last name of sampler or witnessed byReno
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification8579 Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Rock-Palmdale Transportation Laboratory (TL) NumberC-8579
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0001::HOLLIDAY - PALMDALE
The fabricator's/manufacturer's product name for the sampleHolliday Rock-Palmdale 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 Sizefine
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
2019-04-25-21-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanny FerrerCT - Southern Regional Laboratory05/03/2019Nader Rashidi-Ghader
Yes
06/10/2019
2019-04-25-21-7CTM 217-June 2011: Method of Test for Sand EquivalentDanny FerrerCT - Southern Regional Laboratory05/03/2019Nader Rashidi-Ghader
Yes
06/10/2019
2019-04-25-21-8CTM 229-June 2011: Method of Test for Durability IndexDanny FerrerCT - Southern Regional Laboratory05/03/2019Nader Rashidi-Ghader
Yes
06/10/2019
2019-04-25-21-9CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanny FerrerCT - Southern Regional Laboratory05/03/2019Nader Rashidi-Ghader
Yes
06/10/2019
2019-04-25-21-10CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandDanny FerrerCT - Southern Regional Laboratory05/03/2019Nader Rashidi-Ghader
Yes
06/10/2019