Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-11-07-11202159

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date11/07/2013 Sample Unique Key11202159
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 testing11/12/2013
Sample typeAnnual Source Testing A brief description of the sample3/8 PCC Aggregates
The quantity of what the sample constitutes5 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPollard
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification3293B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Materials Complany - Corona 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 91-33-0027
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 collectedStockpile at the plant.
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size3/8 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
2013-11-07-11202159-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNadar RashidiCT - Southern Regional Laboratory11/19/2013Nadar Rashidi
Yes
02/28/2014
2013-11-07-11202159-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateNader RashidiCT - Southern Regional Laboratory11/21/2013Nader Rashidi
Yes
02/28/2014
2013-11-07-11202159-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineNader RashidiCT - Southern Regional Laboratory11/20/2013Nader Rashidi
Yes
02/28/2014
2013-11-07-11202159-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory12/06/2013Nemencio Daof
Yes
02/28/2014
2013-11-07-11202159-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Nader RashidiCT - Southern Regional Laboratory11/20/2013Nader Rashidi
Yes
02/28/2014