Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-11-26-7307996

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 Date11/26/2013 Sample Unique Key7307996
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 testing11/27/2013
Sample typeAcceptance A brief description of the sampleStructure Backfill
The quantity of what the sample constitutes2 Half Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberUnknown
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)NA
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 collectedRW 13
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
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
2013-11-26-7307996-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent OnohCT - Southern Regional Laboratory11/26/2013Vincent Onoh
Yes
02/20/2015 
2013-11-26-7307996-2CTM 217-June 2011: Method of Test for Sand EquivalentVincent OnohCT - Southern Regional Laboratory11/26/2013Vincent Onoh
Yes
02/20/2015