Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-05-12-55

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215221
DEA: 07332604
EFIS: 0716000287
DIST-CO-RTE-PM07-LA-10-R12.4/14.9
Award DateNot set
Closeout DateNot set
Work DescriptionREMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location DescriptionTHE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
QA Service Level1 (Verified on 03/19/2021)

Sample Information

Sample Taken Date05/12/2021 Sample Unique Key55
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 testing06/14/2021
Sample typeAnnual Source Testing A brief description of the sample1.0" PCC Aggregate
The quantity of what the sample constitutes10 Bags From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of samplerQC Representative Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons - Cabazon Transportation Laboratory (TL) Number4042
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)91-33-0008
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-12-55-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesEddie JabbourCT - Southern Regional Laboratory05/20/2021Nader Rashidi-Ghader
Yes
06/02/2021
2021-05-12-55-7CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateDanilo FerrerCT - Southern Regional Laboratory05/21/2021Nader Rashidi-Ghader
Yes
06/02/2021
2021-05-12-55-8CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineF. Ofoegbu/D. PadillaCT - Southern Regional Laboratory05/24/2021Nader Rashidi-Ghader
Yes
06/02/2021
2021-05-12-55-9CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNader Rashidi-GhaderCT - Southern Regional Laboratory05/28/2021Nader Rashidi-Ghader
Yes
06/02/2021
2021-05-12-55-10CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Danilo FerrerCT - Southern Regional Laboratory05/21/2021Nader Rashidi-Ghader
Yes
06/02/2021