Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-03-21-13301821

Project Information

Project IdentifiersProject ID: 209169
DEA: 073X3504
EFIS: 0712000166
DIST-CO-RTE-PM07-LA-105-R2.6
Award Date12/31/1969
Closeout Date03/21/2016
Work DescriptionRECONSTRUCT SLOPE AND HYDROSEED.
Location DescriptionLOS ANGELES COUNTY IN HAWTHORNE AT 0.1 MILE EAST OF INGLEWOOD AVENUE UNDERCROSSING
QA Service Level1 (Verified on 12/26/2013)

Sample Information

Sample Taken Date03/21/2014 Sample Unique Key13301821
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 testing03/26/2014
Sample typeAnnual Source Testing A brief description of the sample1x4 Rock
The quantity of what the sample constitutes5 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 identification4118B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameRobertsons Ready Mix - Cabazon Quarry 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 91-33-0008
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 collectedRobertsons Ready Mix - Cabazon Quarry - Stockpile
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
2014-03-21-13301821-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFarzin FarahCT - Southern Regional Laboratory04/02/2014Farzin Farah
Yes
02/20/2015
2014-03-21-13301821-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateFarzin FarahCT - Southern Regional Laboratory04/03/2014Farzin Farah
Yes
02/20/2015
2014-03-21-13301821-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineFarzin FarahCT - Southern Regional Laboratory04/03/2014Farzin Farah
Yes
02/20/2015
2014-03-21-13301821-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory04/16/2014Nemencio Daof
Yes
02/20/2015
2014-03-21-13301821-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Farzin FarahCT - Southern Regional Laboratory04/04/2014Farzin Farah
Yes
02/20/2015