Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-12-03-12501944

Project Information

Project IdentifiersProject ID: 3995
DEA: 072332A4
EFIS: 0700000390
DIST-CO-RTE-PM07-LA-5-R46.3/R50.0
Award Date02/27/2012
Closeout Date06/02/2015
Work DescriptionWIDEN ROADWAY AND BRIDGES WITH PCC AND CONSTRUCT RETAINING WALLS.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR SANTA CLARITA FROM 0.3 MILE SOUTH OF WELDON CANYON OVERCROSSING TO 0.4 MILE SOUTH OF PICO CANYON ROAD/LYONS AVENUE OVERCROSSING
QA Service Level1 (Verified on 04/23/2012)

Sample Information

Sample Taken Date12/03/2013 Sample Unique Key12501944
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 testing12/19/2013
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPollard
Title of samplerSupervisor of Technical Services Telephone number of samplerNot set
Laboratory sample identification3360B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Materials Company - Palmdale 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. 91-19-0020
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
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
2013-12-03-12501944-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory12/27/2013Nader Rashidi
Yes
04/07/2014 
2013-12-03-12501944-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory12/27/2013Nemencio Daof
Yes
04/07/2014 
2013-12-03-12501944-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNader RashidiCT - Southern Regional Laboratory01/03/2014Nader Rashidi
Yes
04/07/2014 
2013-12-03-12501944-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory12/27/2013Nemencio Daof
Yes
04/07/2014 
2013-12-03-12501944-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory12/27/2013Nemencio Daof
Yes
04/07/2014