Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-18-31

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212827
DEA: 07296404
EFIS: 0713000031
DIST-CO-RTE-PM07-LA-5,10,60-16.1/17.0,18.1/18.4,0.4/R1.0
Award Date01/18/2018
Closeout Date09/03/2020
Work DescriptionPLACE ROCK BLANKET, MINOR CONCRETE, AND WEED CONTROL MAT.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM EUCLID AVENUE UNDERCROSSING TO SEVENTH STREET OVERCROSSING AND ON ROUTE 10 FROM LA RIVER TO ROUTE 5 AND ON ROUTE 60 FROM SOTO STREET UNDERCROSSING TO EAST OF EUCLID AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/14/2019)

Sample Information

Sample Taken Date12/18/2019 Sample Unique Key31
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 testing12/18/2019
Sample typeAcceptance A brief description of the sample1.0" X No 4 PCC AGGREGATE
The quantity of what the sample constitutes2 Bucket From where was the sample collectedDistributor
First name of sampler or witnessed bySEIFU Last name of sampler or witnessed byMERSHA
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9026 Linked DIME Sample ID2019-12-18-31
The fabricator/manufacturer/facility nameASSOCIATED RMC, LA Transportation Laboratory (TL) NumberC121819
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 Size1 inch
The concrete mix design number556300 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-18-31-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD. MONTEMAYORCT - Southern Regional Laboratory12/24/2019Jose Mendez
Yes
03/13/2020
2019-12-18-31-2CTM 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