Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-03-9

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Award Date06/30/2011
Closeout DateNot set
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
QA Service Level1 (Verified on 03/29/2012)

Sample Information

Sample Taken Date12/03/2019 Sample Unique Key9
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 testing12/03/2019
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 byZAID Last name of sampler or witnessed byAbdelkhalq
Title of samplerTET Telephone number of sampler
Laboratory sample identification8959 Linked DIME Sample ID2019-12-03-9
The fabricator/manufacturer/facility nameNational Ready Mix Artesia Transportation Laboratory (TL) NumberC914383
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 collectedConveyor Belt
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberS85149 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-03-9-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKIET PHANCT - Southern Regional Laboratory12/11/2019Jose Mendez
Yes
03/17/2020
2019-12-03-9-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)HUSNI ANKINCT - Southern Regional Laboratory12/12/2019Jose Mendez
Yes
03/17/2020