Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-08-23-9000638

Project Information

Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Award Date06/30/2011
Closeout DateNot set
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
QA Service Level1 (Verified on 03/29/2012)

Sample Information

Sample Taken Date08/23/2013 Sample Unique Key9000638
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 testing08/26/2013
Sample typeAcceptance A brief description of the sampleSoil for backfill material
The quantity of what the sample constitutes1 Bag From where was the sample collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameChandler 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)Chandler
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedJobsite.
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-08-23-9000638-2CTM 217-June 2011: Method of Test for Sand EquivalentNadar RashidiCT - Southern Regional Laboratory08/27/2013Nadar Rashidi
Yes
02/19/2015 
2013-08-23-9000638-3CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincente OnohCT - Southern Regional Laboratory09/23/2013Vincente Onoh
Yes
02/19/2015 
2013-08-23-9000638-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashididCT - Southern Regional Laboratory08/27/2013Nader Rashidid
No
Info

Test Card Drafts

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