Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-11-08-9301548

Project Information

Project IdentifiersProject ID: 3995
DEA: 072332A4
EFIS: 0700000390
DIST-CO-RTE-PM07-LA-5-R46.3/R50.0
Award Date02/27/2012
Closeout Date06/02/2015
Work DescriptionWIDEN ROADWAY AND BRIDGES WITH PCC AND CONSTRUCT RETAINING WALLS.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.3 MILE SOUTH OF WELDON CANYON OVERCROSSING TO 0.4 MILE SOUTH OF PICO CANYON ROAD/LYONS AVENUE OVERCROSSING
QA Service Level1 (Verified on 04/23/2012)

Sample Information

Sample Taken Date11/08/2013 Sample Unique Key9301548
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 testing11/08/2013
Sample typeAcceptance A brief description of the sampleNative Material
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification3262B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameRW 2578 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)RW 2578
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedOriginal ground
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-11-08-9301548-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMatthew ClaytonCT - Southern Regional Laboratory11/11/2013Matthew Clayton
Yes
02/19/2015
2013-11-08-9301548-2CTM 217-June 2011: Method of Test for Sand EquivalentMatthew ClaytonCT - Southern Regional Laboratory11/14/2013Matthew Clayton
Yes
02/19/2015