Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-04-09-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 3825
DEA: 07138204
EFIS: 0700000142
DIST-CO-RTE-PM07-LA-47,103-3.5/4.6,0.0/1.1
Award Date06/30/2011
Closeout DateNot set
Work DescriptionREPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location DescriptionLOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
QA Service Level1 (Verified on 03/29/2012)

Sample Information

Sample Taken Date04/09/2020 Sample Unique Key18
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 testing04/15/2020
Sample typeAcceptance A brief description of the sample1" x #4 PCC AGGREGATE
The quantity of what the sample constitutesAcceptance From where was the sample collectedFabricator
First name of sampler or witnessed byZAID Last name of sampler or witnessed byABDELKHALIQ
Title of samplerTET Telephone number of sampler
Laboratory sample identification9744 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVULCAN CORONA Transportation Laboratory (TL) NumberTNT1
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)91-33-0027::CORONA QUARRY
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 collectedConveyor Belt
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design numberS75099 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-09-18-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD. MontemayorCT - Southern Regional Laboratory04/23/2020Matthew Clayton
Yes
04/29/2020
2020-04-09-18-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Husni AnkirCT - Southern Regional Laboratory04/23/2020Matthew Clayton
Yes
04/29/2020