Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-18-29

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date08/31/2015
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Sample Information

Sample Taken Date12/18/2019 Sample Unique Key29
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 testing12/19/2019
Sample typeAcceptance A brief description of the sample3/8" AGGREGATE PCC
The quantity of what the sample constitutes1 BAG From where was the sample collectedSource
First name of sampler or witnessed byTUAN A Last name of sampler or witnessed byNguyen
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9033 Linked DIME Sample ID2019-12-18-29
The fabricator/manufacturer/facility nameROBERTSON IRWINDALE Transportation Laboratory (TL) NumberCTNTI
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 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 Size3/8 inch
The concrete mix design numberSC505B38 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-18-29-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKIET PHANCT - Southern Regional Laboratory12/26/2019Jose Mendez
Yes
03/13/2020
2019-12-18-29-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)HUSNI ANKIRCT - Southern Regional Laboratory12/24/2019Jose Mendez
Yes
03/13/2020