Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-03-03-6304476

Project Information

Project IdentifiersProject ID: 209044
DEA: 07278804
EFIS: 0700020197
DIST-CO-RTE-PM07-LA-5-R54.4/R54.8
Award Date10/15/2013
Closeout Date10/23/2014
Work DescriptionUPGRADE EXISTING TRUCK INSPECTION FACILITY AND REPLACE CONCRETE SLABS.
Location DescriptionLOS ANGELES COUNTY IN SANTA CLARITA 4.5 MILES SOUTH OF CASTAIC AT THE CASTAIC TRUCK INSPECTION FACILITY
QA Service Level1 (Verified on 02/11/2014)

Sample Information

Sample Taken Date03/03/2014 Sample Unique Key6304476
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 testing03/03/2014
Sample typeAnnual Source Testing A brief description of the sample1 x 4 PCC Aggregates
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byStefan Last name of sampler or witnessed byReder
Title of samplerQuality Assurance Manager Telephone number of samplerNot set
Laboratory sample identification4086B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameHi Grade - Littlerock 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. 91-19-0026
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
2014-03-03-6304476-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVance OlsenCT - Southern Regional Laboratory03/11/2014Vance Olsen
Yes
04/11/2014
2014-03-03-6304476-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateVance OlsenCT - Southern Regional Laboratory03/11/2014Vance Olsen
Yes
04/11/2014
2014-03-03-6304476-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineVance OlsenCT - Southern Regional Laboratory03/11/2014Vance Olsen
Yes
04/11/2014
2014-03-03-6304476-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory03/14/2014Nemencio Daof
Yes
04/11/2014
2014-03-03-6304476-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Vance OlsenCT - Southern Regional Laboratory03/11/2014Vance Olsen
Yes
04/11/2014