Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-11-07-11

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date11/07/2019 Sample Unique Key11
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 testing11/19/2019
Sample typeAcceptance A brief description of the sampleLean Concrete Base
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byTUAN Last name of sampler or witnessed byNGUYEN
Title of samplerMREA Telephone number of sampler
Laboratory sample identification8839 Linked DIME Sample ID2019-11-07-11
The fabricator/manufacturer/facility nameROBERTSON IRWINDALE Transportation Laboratory (TL) NumberC915157
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 Size1 inch
The concrete mix design numberPRM 12037 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-11-07-11-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDAVID VALENZULACT - Southern Regional Laboratory11/22/2019Jose Mendez
No
Info
2019-11-07-11-2CTM 217-June 2011: Method of Test for Sand Equivalentlarry diazCT - Southern Regional Laboratory11/27/2019Jose Mendez
No
Info