Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-17-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date12/17/2019 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 testing12/17/2019
Sample typeAcceptance A brief description of the sample3/4" LEAN CONCRETE BASE
The quantity of what the sample constitutes1 From where was the sample collectedDistributor
First name of sampler or witnessed byTUAN A Last name of sampler or witnessed byNguyen
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9006 Linked DIME Sample ID2019-12-17-15
The fabricator/manufacturer/facility nameSECURITY PAYMENT -LA MERIDA Transportation Laboratory (TL) NumberC TNTI
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 sampleSECURITY PAVEMENT LA MIRADA
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 numberG3-17-LCB-004 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-17-15-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKIET PHANCT - Southern Regional Laboratory12/21/2019Jose Mendez
Yes
03/17/2020
2019-12-17-15-2CTM 217-June 2011: Method of Test for Sand EquivalentSATISH JAIMCT - Southern Regional Laboratory12/23/2019Jose Mendez
Yes
03/17/2020
2019-12-17-15-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingKIET PHANCT - Southern Regional Laboratory12/21/2019Jose Mendez
Yes
03/17/2020