Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-05-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date12/05/2019 Sample Unique Key16
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 testing12/06/2019
Sample typeAcceptance A brief description of the sample3/8" PCC AGGREGATE
The quantity of what the sample constitutes1 bag From where was the sample collectedFabricator
First name of sampler or witnessed byHonesto Last name of sampler or witnessed byCastillo
Title of samplerMREA Telephone number of sampler
Laboratory sample identification8962 Linked DIME Sample ID2019-12-05-16
The fabricator/manufacturer/facility nameVULCAN PORTABLE PLANT LONG BEACH Transportation Laboratory (TL) NumberC914405
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameGERALD DESMOND BRIDGE

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 Size3/8 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
2019-12-05-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMIKE MAGANACT - Southern Regional Laboratory12/10/2019Jose Mendez
Yes
03/17/2020
2019-12-05-16-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)HUSNI ANKINCT - Southern Regional Laboratory12/10/2019Jose Mendez
Yes
03/17/2020