Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-10-29-8001487

Project Information

Project IdentifiersProject ID: 208944
DEA: 07187224
EFIS: 0700000189
DIST-CO-RTE-PM07-LA-126-R6.8/R9.2
Award DateNot set
Closeout DateNot set
Work DescriptionSR 126/Commerce Center Drive Interchange Project
Location DescriptionNorthwest of the City of Santa Clarita in unincorporated Los Angeles County
QA Service Level1 (Verified on 08/01/2013)

Sample Information

Sample Taken Date10/29/2013 Sample Unique Key8001487
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 testing10/29/2013
Sample typeAnnual Source Testing A brief description of the sampleWCS
The quantity of what the sample constitutes2 Bags 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 identification3258B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCalportland - Sisquoc 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)SMARA No. 91-42-0014
The fabricator's/manufacturer's product name for the sampleWashed Concrete Sand The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile at the Plant
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Sizefine
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
2013-10-29-8001487-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFarzin FarahCT - Southern Regional Laboratory11/04/2013Farzin Farah
Yes
02/28/2014 
2013-10-29-8001487-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory11/09/2013Nemencio Daof
Yes
02/28/2014 
2013-10-29-8001487-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandFarzin FarahCT - Southern Regional Laboratory11/27/2013Farzin Farah
Yes
02/28/2014 
2013-10-29-8001487-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory11/04/2013Nemencio Daof
Yes
02/28/2014 
2013-10-29-8001487-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory11/05/2013Nemencio Daof
Yes
02/28/2014