Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-10-29-10006428

Project Information

Project IdentifiersProject ID: 3958
DEA: 07215914
EFIS: 0700001831
DIST-CO-RTE-PM07-LA-5-1.2/2.1
Award Date12/31/1969
Closeout Date06/14/2016
Work DescriptionWIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date10/29/2013 Sample Unique Key10006428
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 testing11/20/2013
Sample typeAnnual Source Testing A brief description of the sampleWCS PCC Aggregates
The quantity of what the sample constitutes3 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 identification3297B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameRobertsons - Cabazon 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 91-33-0008
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 collectedStockpiles
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
2013-10-29-10006428-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory01/24/2014Nader Rashidi
Yes
04/07/2014
2013-10-29-10006428-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory12/06/2013Nemencio Daof
Yes
04/07/2014
2013-10-29-10006428-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNadar RashidiCT - Southern Regional Laboratory12/18/2013Nadar Rashidi
Yes
04/07/2014
2013-10-29-10006428-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory12/06/2013Nemencio Daof
Yes
04/07/2014
2013-10-29-10006428-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory12/05/2013Nemencio Daof
Yes
04/07/2014