Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-05-03-20

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date05/03/2021 Sample Unique Key20
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 testing05/10/2021
Sample typeVerification A brief description of the samplePSUE 3/4" HMA-A-SP R21 0.5% LAS
The quantity of what the sample constitutes5 Bags of Combined Aggregate, 2 Bags of RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byCesar Last name of sampler or witnessed byGomez
Title of samplerQC Telephone number of sampler
Laboratory sample identification0269A-21 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan - Irwindale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0035, 91-19-0016
The fabricator's/manufacturer's product name for the sample3/4 HMA-A-SP R21 The fabricator/manufacturer designation for the sample
The plant number220817A IRW SJR A detailed description of where the material sample was collectedBelt Cut at Vulcan Irwindale Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-03-20-11AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Larry DiazCT - Southern Regional Laboratory05/18/2021Satish Jain
Yes
05/19/2021Combined Virgin Aggregate Gradation
2021-05-03-20-12AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Danilo FerrerCT - Southern Regional Laboratory05/18/2021Satish Jain
Yes
05/19/2021
2021-05-03-20-13AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Danilo FerrerCT - Southern Regional Laboratory05/13/2021Satish Jain
Yes
05/19/2021
2021-05-03-20-14CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLarry Diaz, Satish JainCT - Southern Regional Laboratory05/18/2021Michael Magana
Yes
05/19/2021Combined RAP/Virgin Aggregate Gradation W/Correlation Factors Applied