Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-10-30-10000814

Project Information

Project IdentifiersProject ID: 7757
DEA: 07252614
EFIS: 0700021271
DIST-CO-RTE-PM07-LA-5-C43.9/C46.4
Award Date12/12/2012
Closeout Date06/02/2015
Work DescriptionREPLACE CONCRETE SLABS WITH PRECAST CONCRETE PANELS.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM SAN FERNANDO ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING
QA Service Level1 (Verified on 11/12/2012)

Sample Information

Sample Taken Date10/30/2013 Sample Unique Key10000814
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 testing10/31/2013
Sample typeAnnual Source Testing A brief description of the sample3/4 Crushed PCC Aggregates
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byLopez
Title of samplerQuality Control Manager Telephone number of sampler(951) 634-2002
Laboratory sample identification3259 Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameCemex Lytle Creek 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. 91-36-0040
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 collectedConveyer Belt
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size1 inch
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
2013-10-30-10000814-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNadar RashidiCT - Southern Regional Laboratory11/08/2013Nadar Rashidi
Yes
02/28/2014
2013-10-30-10000814-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateNader RashidiCT - Southern Regional Laboratory11/11/2013Nader Rashidi
Yes
02/28/2014
2013-10-30-10000814-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineNader RashidiCT - Southern Regional Laboratory11/13/2013Nader Rashidi
Yes
02/28/2014
2013-10-30-10000814-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory11/21/2013Nemencio Daof
Yes
02/28/2014
2013-10-30-10000814-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Nader RashidiCT - Southern Regional Laboratory11/14/2013Nader Rashidi
Yes
02/28/2014