Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-19-27

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213741
DEA: 07325704
EFIS: 0716000089
DIST-CO-RTE-PM07-LA-5-1.7
Award DateNot set
Closeout DateNot set
Work DescriptionBUILDING CONSTRUCTION IN LOS ANGELES COUNTY IN SANTA FE SPRINGS AT 14044 FREEWAY DRIVE.
Location DescriptionSanta Fe Springs, At 14044 Freeway Drive.
QA Service Level1 (Verified on 07/08/2019)

Sample Information

Sample Taken Date12/19/2019 Sample Unique Key27
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 testing12/23/2019
Sample typeAcceptance A brief description of the sampleWASHED SAND
The quantity of what the sample constitutes1 BAG From where was the sample collectedDistributor
First name of sampler or witnessed byZAID Last name of sampler or witnessed byAbdelkhaliq
Title of samplerTET Telephone number of sampler
Laboratory sample identification9045 Linked DIME Sample ID2019-12-19-27
The fabricator/manufacturer/facility nameROBERTSON 10 Transportation Laboratory (TL) NumberC07-ZA02
Inspector Lot Number from the Transportation Laboratory (TL) FormBUILDING FOUNDATIN FOOTING 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 collectedBelt Cut at SECURITY PAVING LA MIRADA
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-19-27-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHUSNI ANKIRCT - Southern Regional Laboratory12/26/2019Jose Mendez
Yes
03/13/2020
2019-12-19-27-2CTM 217-June 2011: Method of Test for Sand EquivalentHUSNI ANKIRCT - Southern Regional Laboratory01/03/2020Jose Mendez
Yes
03/13/2020
2019-12-19-27-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingHUSNI ANKIRCT - Southern Regional Laboratory12/26/2019Jose Mendez
Yes
03/13/2020