Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-12-18-7000040

Project Information

Project IdentifiersProject ID: 3811
DEA: 071219U4
EFIS: 0700001829
DIST-CO-RTE-PM07-LA-5,170-58.0/63.4,R32.3/R33.1
Award Date05/06/2010
Closeout Date08/25/2016
Work DescriptionConstruct HOV lanes, connectors and replace slabs.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5 FROM 0.1 KM NORTH OF SHELDON STREET OVERCROSSING TO ROUTE 5/118 SEPARATION AND ON ROUTE 170 FROM 0.1 KM SOUTH OF ARLETA/SHELDON UNDERCROSSING TO ROUTE 5/170 SEPARATION
QA Service Level1 (Verified on 08/16/2012)

Sample Information

Sample Taken Date12/18/2013 Sample Unique Key7000040
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 testing01/08/2014
Sample typeAnnual Source Testing A brief description of the sample1x 4 Pcc Aggregate
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 byPollard
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification4000B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Sun Valley - Sheldon 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 91-19-0017
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 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
2013-12-18-7000040-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesCharles McDonaldCT - Southern Regional Laboratory01/24/2014Charles McDonald
Yes
04/07/2014 
2013-12-18-7000040-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateCharles McDonaldCT - Southern Regional Laboratory01/24/2014Charles McDonald
Yes
04/07/2014 
2013-12-18-7000040-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineCharles McDonaldCT - Southern Regional Laboratory01/23/2014Charles McDonald
Yes
04/07/2014 
2013-12-18-7000040-4CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Charles McDonaldCT - Southern Regional Laboratory01/23/2014Charles McDonald
Yes
04/07/2014