Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-04-14-26

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date04/14/2020 Sample Unique Key26
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 testing04/20/2020
Sample typeAcceptance A brief description of the sample3/8" AGG
The quantity of what the sample constitutes1 bag, 60 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byKEVIN Last name of sampler or witnessed byHOPKINS
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9846 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNRM Sun Valley Transportation Laboratory (TL) NumberC041420B
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)91-19-0020
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 collectedna
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberS72001 S62578 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-14-26-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJ. Diaz ConsultantCT - Southern Regional Laboratory04/23/2020Matthew Clayton
Yes
05/04/2020
2020-04-14-26-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Husni AnkirCT - Southern Regional Laboratory04/23/2020Matthew Clayton
Yes
05/04/2020