Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-12-19-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date12/19/2019 Sample Unique Key28
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 Concrete Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedDistributor
First name of sampler or witnessed byTUAN A Last name of sampler or witnessed byNGUYEN
Title of samplerMREA Telephone number of samplerUnknown
Laboratory sample identification9048 Linked DIME Sample ID2019-12-19-28
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberCTNT1
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
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 Sizefine
The concrete mix design numberG3-19-PCC-001 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-19-28-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLARRY DIAZCT - Southern Regional Laboratory01/03/2020Jose Mendez
Yes
03/19/2020
2019-12-19-28-2CTM 217-June 2011: Method of Test for Sand EquivalentDANILLO FERRERCT - Southern Regional Laboratory03/07/2020Jose Mendez
Yes
03/19/2020
2019-12-19-28-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingLARRY DIAZCT - Southern Regional Laboratory01/03/2020Jose Mendez
Yes
03/19/2020