Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-11-44

Sample is locked from editing. info

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 Date12/11/2019 Sample Unique Key44
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 testing12/11/2019
Sample typeAcceptance A brief description of the sample1" AGGREGATE
The quantity of what the sample constitutes2 BAGS From where was the sample collectedDistributor
First name of sampler or witnessed byZaid Last name of sampler or witnessed byAbdelkhaliq
Title of samplerTET Telephone number of sampler
Laboratory sample identification8971 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSECURITY PLANT LA-MIRADA Transportation Laboratory (TL) NumberC914389
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 sample1 inch aggregate The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelt Cut at Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-19-PCC-001 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-11-44-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLARY DIAZCT - Southern Regional Laboratory12/14/2019Jose Mendez
Yes
03/17/2020
2019-12-11-44-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)HUSNI ANKIRCT - Southern Regional Laboratory12/16/2019Jose Mendez
Yes
03/17/2020