Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-04-13-9

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 Date04/13/2020 Sample Unique Key9
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 testing04/14/2020
Sample typeAcceptance A brief description of the sampleWCS for Acceptance
The quantity of what the sample constitutes1 bag 130 cy From where was the sample collectedManufacturer
First name of sampler or witnessed byMD Last name of sampler or witnessed byShajahan
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9718 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSource Vulcan Sunvalley, Sampled from Security Paving Burbank Transportation Laboratory (TL) Number94443
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)00-00-0000
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 collectedSecurity Paving OnSite
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberG3-16-PCC002 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-13-9-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLarry Diaz and Husni AnkirCT - Southern Regional Laboratory04/17/2020Matthew Clayton
Yes
05/11/2020
2020-04-13-9-2CTM 217-June 2011: Method of Test for Sand EquivalentLarry Diaz / OHFCT - Southern Regional Laboratory04/17/2020Matthew Clayton
Yes
05/11/2020
2020-04-13-9-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingHusni AnkirCT - Southern Regional Laboratory04/16/2020Matthew Clayton
Yes
05/11/2020