Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-05-21-7001692

Project Information

Project IdentifiersProject ID: 4085
DEA: 07286904
EFIS: 0700020897
DIST-CO-RTE-PM07-LA-60-11.6/R23.6
Award Date12/22/2011
Closeout Date04/02/2015
Work DescriptionREPLACE PCC SLABS & ELECTRICAL LOOPS AND GRIND PAVEMENT.
Location DescriptionLOS ANGELES COUNTY IN CITY OF INDUSTRY AND DIAMOND BAR FROM ROUTE 60/605 SEPARATION TO S57/60 SEPARATION
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date05/21/2014 Sample Unique Key7001692
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 testing05/21/2014
Sample typeAnnual Source Testing A brief description of the sampleWCS
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification4148B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Durbin 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)91-19-0023::DURBIN
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 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
2014-05-21-7001692-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNadar RashidiCT - Southern Regional Laboratory05/30/2014Nadar Rashidi
Yes
02/20/2015
2014-05-21-7001692-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory06/16/2014Nemencio Daof
Yes
02/20/2015
2014-05-21-7001692-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory06/03/2014Satish Jain
Yes
02/20/2015
2014-05-21-7001692-5CTM 217-June 2011: Method of Test for Sand EquivalentNader RashidiCT - Southern Regional Laboratory06/02/2014Nader Rashidi
Yes
02/20/2015
2014-05-21-7001692-6CTM 229-June 2011: Method of Test for Durability IndexNader RashidiCT - Southern Regional Laboratory06/04/2014Nader Rashidi
Yes
02/20/2015