Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-10-16-9003619

Project Information

Project IdentifiersProject ID: 5266
DEA: 08448404
EFIS: 0800000712
COOP: 081488A1
DIST-CO-RTE-PM08-RIV-91-15.6/21.6
Award Date02/10/2012
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location DescriptionRIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
QA Service Level1 (Verified on 04/27/2012)

Sample Information

Sample Taken Date10/16/2013 Sample Unique Key9003619
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 testing10/16/2013
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Subbase
The quantity of what the sample constitutes1 Bag From where was the sample collectedOther
First name of sampler or witnessed byKohnson Last name of sampler or witnessed byChan
Title of samplerTE Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameE/B 91 Sta 338 00 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)Unknown
The fabricator's/manufacturer's product name for the sampleClass 2 Aggregate Subbase The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedE/B 91 Sta. 338 00
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
2013-10-16-9003619-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent OnohCT - Southern Regional Laboratory10/17/2013Vincent Onoh
Yes
02/20/2015 
2013-10-16-9003619-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory10/17/2013Nemencio Daof
Yes
02/20/2015 
2013-10-16-9003619-3CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory10/21/2013Vincent Onoh
Yes
02/20/2015