Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-07-13-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout DateNot set
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
QA Service Level1 (Verified on 03/29/2018)

Sample Information

Sample Taken Date07/13/2019 Sample Unique Key2
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 testing07/17/2019
Sample typePer Request A brief description of the sampleClass 3 Agg Base
The quantity of what the sample constitutes2 bags From where was the sample collectedJob Site
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerMaterial Tester Telephone number of sampler
Laboratory sample identification8649 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCaltrans Transportation Laboratory (TL) NumberC904629
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 collectedRoadway Sta 20.9-24.6
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 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
2019-07-13-2-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLarry DiazCT - Southern Regional Laboratory07/23/2019Nader Rashidi-Ghader
Yes
09/17/2019
2019-07-13-2-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish JainCT - Southern Regional Laboratory07/25/2019Nader Rashidi-Ghader
Yes
09/17/2019
2019-07-13-2-7CTM 217-June 2011: Method of Test for Sand EquivalentKiet PhanCT - Southern Regional Laboratory07/24/2019Nader Rashidi-Ghader
Yes
09/17/2019
2019-07-13-2-8CTM 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 Laboratory07/25/2019Nader Rashidi-Ghader
Yes
09/17/2019