Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-09-16-9101

Project Information

Project IdentifiersProject ID: 208944
DEA: 07187224
EFIS: 0700000189
DIST-CO-RTE-PM07-LA-126-R6.8/R9.2
Award DateNot set
Closeout Date08/19/2021
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 Key9101
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 testing09/17/2013
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes3 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 identification3241B 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 sampleWashed Concrete Sand 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 Sizefine
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
2013-09-16-9101-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFarzin FarahCT - Southern Regional Laboratory09/18/2013Farzin Farah
Yes
02/28/2014
2013-09-16-9101-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory09/18/2013Nemencio Daof
Yes
02/28/2014
2013-09-16-9101-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory09/18/2013Satish Jain
Yes
02/28/2014
2013-09-16-9101-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory09/18/2013Nemencio Daof
Yes
02/28/2014
2013-09-16-9101-5CTM 229-June 2011: Method of Test for Durability IndexFarzin FarahCT - Southern Regional Laboratory09/18/2013Farzin Farah
Yes
02/28/2014