Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-09-16-7923

Project Information

Project IdentifiersProject ID: 208944
DEA: 07187224
EFIS: 0700000189
DIST-CO-RTE-PM07-LA-126-R6.8/R9.2
Award DateNot set
Closeout DateNot set
Work DescriptionSR 126/Commerce Center Drive Interchange Project
Location DescriptionNorthwest of the City of Santa Clarita in unincorporated Los Angeles County
QA Service Level1 (Verified on 08/01/2013)

Sample Information

Sample Taken Date09/16/2013 Sample Unique Key7923
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 testing10/04/2013
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregates
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerMREA Telephone number of samplerNot set
Laboratory sample identification3239B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameHolliday Palmdale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA No. 91-19-0001
The fabricator's/manufacturer's product name for the sample1 x 4 Pcc Aggregate The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-09-16-7923-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMatthew ClaytonCT - Southern Regional Laboratory09/18/2013Matthew Clayton
Yes
02/28/2014 
2013-09-16-7923-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateFarzin FarahCT - Southern Regional Laboratory09/18/2013Farzin Farah
Yes
02/28/2014 
2013-09-16-7923-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineMatthew ClaytonCT - Southern Regional Laboratory09/20/2013Matthew Clayton
Yes
02/28/2014 
2013-09-16-7923-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory09/18/2013Nemencio Daof
Yes
02/28/2014 
2013-09-16-7923-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Matthew ClaytonCT - Southern Regional Laboratory09/18/2013Matthew Clayton
Yes
02/28/2014 

Test Card Drafts

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