Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-03-18-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210735
DEA: 071193U4
EFIS: 0713000007
DIST-CO-RTE-PM07-LA-10-37.2/42.4
Award Date08/31/2015
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionIN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
QA Service Level1 (Verified on 03/07/2016)

Sample Information

Sample Taken Date03/18/2020 Sample Unique Key21
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 testing04/10/2020
Sample typeAcceptance A brief description of the sampleRECYCLED LEAN BASE AGG FOR LCB
The quantity of what the sample constitutesna From where was the sample collectedManufacturer
First name of sampler or witnessed byG Last name of sampler or witnessed byZUBIETA
Title of samplerTET Telephone number of sampler
Laboratory sample identification9697 Linked DIME Sample ID
The fabricator/manufacturer/facility nameATKINSON PORTABLE PLANT POMONA Transportation Laboratory (TL) Number9233381
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 sampleLCB The fabricator/manufacturer designation for the sampleLB19-0040 AGGREGATE
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 Size1 inch
The concrete mix design numberLB19-0040 Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-18-21-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKiet Phan CT - Southern Regional Laboratory04/16/2020Matthew Clayton
Yes
05/13/2020
2020-03-18-21-2CTM 217-June 2011: Method of Test for Sand EquivalentDANILO FERRERCT - Southern Regional Laboratory04/16/2020Matthew Clayton
Yes
05/13/2020