Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-04-23-12

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 Date04/23/2020 Sample Unique Key12
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 sample3/8" Aggregate for Acceptance
The quantity of what the sample constitutes1 bag, 50CY 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 identification9874 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Compton, Source Vulcan White Mountain Transportation Laboratory (TL) Number002096
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)91-36-0106
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 number1605762 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-23-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesD. Montemayor CT - Southern Regional Laboratory04/28/2020Matthew Clayton
No
Info
2020-04-23-12-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)DANILO FERRERCT - Southern Regional Laboratory04/28/2020Matthew Clayton
No
Info