Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-04-21-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212600
DEA: 07293704
EFIS: 0713000239
DIST-CO-RTE-PM07-LA-110,405-8.0/9.0,12.2/13.2
Award Date02/27/2018
Closeout DateNot set
Work DescriptionWIDEN SHOULDER AND AUXILIARY LANE OF CONNECTOR.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR CARSON ON ROUTE 110 FROM 0.2 MILE NORTH OF TORRANCE BOULEVARD UNDERCROSSING TO 190TH STREET UNDERCROSSING AND ON ROUTE 405 FROM MAIN STREET UNDERCROSSING TO 190TH STREET UNDERCROSSING
QA Service Level1 (Verified on 04/03/2018)

Sample Information

Sample Taken Date04/21/2020 Sample Unique Key19
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 testing04/23/2020
Sample typeAcceptance A brief description of the sampleWCS Aggregate for Acceptance
The quantity of what the sample constitutes1 bag, 30CY 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 identification9872 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCEMEX COMPTON, SOURCE CEMEX VULCAN DURBIN Transportation Laboratory (TL) Number002095
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)91-19-0023
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 Sizefine
The concrete mix design number1513375 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-21-19-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD. Montemayor and Satish JainCT - Southern Regional Laboratory04/28/2020Matthew Clayton
Yes
05/11/2020
2020-04-21-19-2CTM 217-June 2011: Method of Test for Sand EquivalentLarry DiazCT - Southern Regional Laboratory04/29/2020Matthew Clayton
Yes
05/11/2020
2020-04-21-19-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingD. MontemayorCT - Southern Regional Laboratory04/28/2020Matthew Clayton
Yes
05/11/2020