Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-11-18-15

Project Information

Project IdentifiersProject ID: 212889
DEA: 073009U4
EFIS: 0714000238
DIST-CO-RTE-PM07-LA-110-R0.7/24.1
Award Date04/03/2018
Closeout Date06/30/2021
Work DescriptionREPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON FROM GAFFEY STREET TO 0.1 MILE SOUTH OF COLLEGE STREET OVERCROSSING
QA Service Level1 (Verified on 06/21/2018)

Sample Information

Sample Taken Date11/18/2019 Sample Unique Key15
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 testing11/25/2019
Sample typeQuality Control A brief description of the sample3/4 RHMA-G-SP
The quantity of what the sample constitutes1 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byZubieta
Title of samplerTE Civil Telephone number of sampler
Laboratory sample identification8932 Linked DIME Sample ID2019-11-18-15
The fabricator/manufacturer/facility nameAll American Asphalt Corona Transportation Laboratory (TL) NumberC936773
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 collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 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
2019-11-18-15-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD. MONTEMAJORCT - Southern Regional Laboratory12/04/2019Jose Mendez
No
Info
2019-11-18-15-2CTM 217-June 2011: Method of Test for Sand EquivalentHUSNI ANKIRCT - Southern Regional Laboratory12/04/2019Jose Mendez
No
Info