Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-02-05-7307672

Project Information

Project IdentifiersProject ID: 3958
DEA: 07215914
EFIS: 0700001831
DIST-CO-RTE-PM07-LA-5-1.2/2.1
Award Date12/31/1969
Closeout Date06/14/2016
Work DescriptionWIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date02/05/2014 Sample Unique Key7307672
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 testing02/05/2014
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes2 Bags From where was the sample collectedOther
First name of sampler or witnessed byJose Last name of sampler or witnessed byBurbano
Title of samplerARE Telephone number of samplerUnknown
Laboratory sample identification4059B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDR 1 line Sta 84 00 to 86 00 Transportation Laboratory (TL) NumberUnknown
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)Robertsons Anaheim
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedDR 1 line Sta 84 to 86
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
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
2014-02-05-7307672-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFarzin FarahCT - Southern Regional Laboratory02/13/2014Farzin Farah
Yes
02/20/2015
2014-02-05-7307672-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory02/13/2014Nemencio Daof
Yes
02/20/2015
2014-02-05-7307672-3CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory02/20/2014Vincent Onoh
Yes
02/20/2015