Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-11-57

Project Information

Project IdentifiersProject ID: 213603
DEA: 07301504
EFIS: 0714000020
DIST-CO-RTE-PM07-LA-1,10-R34.6/35.2,R2.1/18.4
Award Date11/19/2018
Closeout DateNot set
Work DescriptionREPLACING CONCRETE AND AC PAVEMENT
Location DescriptionLOS ANGELES COUNTY IN SANTA MONICA AND LOS ANGELES ON ROUTE 1 FROM 0.1 MILE WEST OF MAIN STREET OVERCROSSING TO ROUTE 1/10 SEPARATION AND ON ROUTE 10 FROM ROUTE 1/10 SEPARATION TO ROUTE 5/10 SEPARATION AND AT ROUTE 10/110 SEPARATION
QA Service Level1 (Verified on 07/26/2019)

Sample Information

Sample Taken Date12/11/2019 Sample Unique Key57
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 testing12/17/2019
Sample typeAcceptance A brief description of the sample1/2 RHMA-SP-r12
The quantity of what the sample constitutes 1 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Irwindale Last name of sampler or witnessed byZubieta
Title of samplerTE CIVIL Telephone number of sampler
Laboratory sample identification9000 Linked DIME Sample ID2019-12-11-57
The fabricator/manufacturer/facility nameVulcan, Reliance Irwindale Transportation Laboratory (TL) NumberC923404
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 sample1/2 RHMA-SP 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 number220831 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-11-57-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLARRY DIAZCT - Southern Regional Laboratory12/20/2019Jose Mendez
No
Info
2019-12-11-57-2CTM 217-June 2011: Method of Test for Sand EquivalentSATISH JAIMCT - Southern Regional Laboratory12/23/2019Jose Mendez
No
Info