Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-10-31-16

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date10/31/2019 Sample Unique Key16
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 testing11/13/2019
Sample typeAcceptance A brief description of the sample3/8" pcc aggregate
The quantity of what the sample constitutes3 bags From where was the sample collectedFabricator
First name of sampler or witnessed byHonseto Last name of sampler or witnessed byCastillo
Title of samplerMREA Telephone number of sampler
Laboratory sample identification8828 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNational Ready Mix Artesia Transportation Laboratory (TL) NumberC915080
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 collectedunkown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 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
2019-10-31-16-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSebastian FererCT - Southern Regional Laboratory11/14/2019Jose Mendez
No
Info
2019-10-31-16-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Sebastian FerrerCT - Southern Regional Laboratory11/15/2019Jose Mendez
No
Info