Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-08-30-8006587

Project Information

Project IdentifiersProject ID: 3951
DEA: 07202114
EFIS: 0700020869
DIST-CO-RTE-PM07-LA-710-17.2/26.4
Award Date04/04/2012
Closeout DateNot set
Work DescriptionPAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location DescriptionLOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/27/2012)

Sample Information

Sample Taken Date08/30/2013 Sample Unique Key8006587
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 testing08/30/2013
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes2 Bags From where was the sample collectedOther
First name of sampler or witnessed bySophek Last name of sampler or witnessed byChong
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameFirestone Yard 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)Firestone Yard
The fabricator's/manufacturer's product name for the sampleClass 3 Aggregate Base The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedMedian (710 Fwy)
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
2013-08-30-8006587-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRobert JuarqinCT - Southern Regional Laboratory09/23/2013Robert Juarqin
Yes
02/19/2015 
2013-08-30-8006587-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory09/06/2013Nemencio Daof
Yes
02/19/2015 
2013-08-30-8006587-3CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory09/23/2013Nemencio Daof
Yes
02/19/2015 
2013-08-30-8006587-4CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory09/23/2013Vincent Onoh
Yes
02/19/2015 

Test Card Drafts

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