Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-04-22-8002608

Project Information

Project IdentifiersProject ID: 4042
DEA: 07252804
EFIS: 0700000455
DIST-CO-RTE-PM07-LA-5-R73.2/R88.6
Award Date01/12/2012
Closeout Date04/02/2015
Work DescriptionREPLACE PCC PAVEMENT AND WIDEN MEDIAN SHOULDER.
Location DescriptionLOS ANGELES COUNTY ABOUT 13 MILES NORTH OF CASTAIC FROM 1.2 MILES SOUTH OF VISTA DEL LAGO OVERCROSSING TO KERN COUNTY LINE
QA Service Level1 (Verified on 02/28/2012)

Sample Information

Sample Taken Date04/22/2014 Sample Unique Key8002608
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 testing04/25/2014
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 byKevin Last name of sampler or witnessed byHopkins
Title of samplerMREA Telephone number of samplerNot set
Laboratory sample identification4135B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameGriffith Edmonston 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 91-15-0068
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 at the Plant
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
2014-04-22-8002608-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish JainCT - Southern Regional Laboratory05/01/2014Satish Jain
Yes
07/25/2014
2014-04-22-8002608-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory05/01/2014Nemencio Daof
Yes
07/25/2014
2014-04-22-8002608-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory05/01/2014Satish Jain
Yes
07/25/2014
2014-04-22-8002608-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory04/30/2014Nemencio Daof
Yes
07/25/2014
2014-04-22-8002608-5CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory04/30/2014Satish Jain
Yes
07/25/2014