Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-06-17-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213388
DEA: 120N3004
EFIS: 1213000194
DIST-CO-RTE-PM12-ORA-241-18.3/18.7
Award Date09/26/2018
Closeout Date12/09/2019
Work DescriptionRAMP REALIGNMENT, PAVING, AND RE-STRIPING.
Location DescriptionORANGE COUNTY IN RANCHO SANTA MARGARITA FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF SANTA MARGARITA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/16/2019)

Sample Information

Sample Taken Date06/17/2019 Sample Unique Key14
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 testing06/19/2019
Sample typePer Request A brief description of the sampleClass 2 Agg Base
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byDan Last name of sampler or witnessed byMorris
Title of sampler Telephone number of sampler
Laboratory sample identification8614 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCaltrans Transportation Laboratory (TL) NumberC 648388
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)Unknown
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 collectedRte 241
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 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
2019-06-17-14-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKiet PhanCT - Southern Regional Laboratory06/21/2019Nader Rashidi-Ghader
Yes
07/03/2019
2019-06-17-14-7CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKiet PhanCT - Southern Regional Laboratory06/21/2019Nader Rashidi-Ghader
Yes
07/03/2019
2019-06-17-14-8CTM 229-June 2011: Method of Test for Durability IndexKiet PhanCT - Southern Regional Laboratory06/21/2019Nader Rashidi-Ghader
Yes
07/03/2019
2019-06-17-14-9CTM 229-June 2011: Method of Test for Durability IndexNader Rashidi-GhaderCT - Southern Regional Laboratory06/24/2019Nader Rashidi-Ghader
Yes
07/03/2019
2019-06-17-14-10CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerTess Perez/Kiet PhanCT - Southern Regional Laboratory06/25/2019Nader Rashidi-Ghader
Yes
07/03/2019