Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-06-13-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214029
DEA: 07301104
EFIS: 0714000009
DIST-CO-RTE-PM07-LA-60,710-710-R2.8/11.8, 24.1/25.1
Award Date06/03/2019
Closeout DateNot set
Work DescriptionRoadway ex, place jointed plain concrete pavement & concrete barrieres
Location DescriptionIn Los Angeles County at avocado Heights on Route 60 from 0.5 Mile west of Route 60/710 Separation to Route 60/605 Separation AND on Route 710 from 0.5 miles south of Route 710/60 Separation to 0.5 mile north of Route 710/60 Separation.
QA Service Level1 (Verified on 06/25/2019)

Sample Information

Sample Taken Date06/13/2020 Sample Unique Key5
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 testing06/16/2020
Sample typeAcceptance A brief description of the sample3/8" PCC Aggregate
The quantity of what the sample constitutes1Bag From where was the sample collectedSource
First name of sampler or witnessed byTuan Last name of sampler or witnessed byNguyen
Title of samplerMREA Telephone number of sampler
Laboratory sample identification1266 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Irwindale Transportation Laboratory (TL) NumberCTNT1
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)N/A
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 collectedUnknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-13-5-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesHusni AnkirCT - Southern Regional Laboratory06/20/2020Satish Jain
No
Info
2020-06-13-5-4CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Kiet PhanCT - Southern Regional Laboratory06/21/2020Satish Jain
Yes
06/25/2020