Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-09-24-9998

Project Information

Project IdentifiersProject ID: 3958
DEA: 07215914
EFIS: 0700001831
DIST-CO-RTE-PM07-LA-5-1.2/2.1
Award Date12/31/1969
Closeout Date06/14/2016
Work DescriptionWIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date09/24/2013 Sample Unique Key9998
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 testing09/24/2013
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes2 bags From where was the sample collectedOther
First name of sampler or witnessed byNot set Last name of sampler or witnessed byNot set
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification3242B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameWindrows placed on Proposed Mainline 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)NA
The fabricator's/manufacturer's product name for the sampleClass 3 Aggregate Base The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedWindrows placed on Proposed Mainline.
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
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
2013-09-24-9998-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRobert JarquinCT - Southern Regional Laboratory09/26/2013Robert Jarquin
Yes
02/19/2015 
2013-09-24-9998-2CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory09/30/2013Vincent Onoh
Yes
02/19/2015