Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-07-01-7007769

Project Information

Project IdentifiersProject ID: 7736
DEA: 07267504
EFIS: 0700000504
DIST-CO-RTE-PM07-LA-10,110,405-R4.9/14.8,21.1,29.1
Award Date12/21/2012
Closeout Date04/03/2015
Work DescriptionINSTALL MBGR AND CONCRETE BARRIER, COLD PLANE AND OVERLAY SHOULDER
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS ON ROUTE 10 FROM GATEWAY BLVD TO ROUTE 110 AND ON ROUTE 110 FROM THE EASTBOUND 10 CONNECTOR TO ADAMS OFF-RAMP
QA Service Level1 (Verified on 11/12/2012)

Sample Information

Sample Taken Date07/01/2014 Sample Unique Key7007769
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 testing07/02/2014
Sample typeAcceptance A brief description of the sampleAggregate Base
The quantity of what the sample constitutes1 Bag From where was the sample collectedOther
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 identification4182B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameLocation 1 and 2 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)Unknown
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 collectedLocation 1 and 2
Where the material sample would have been placed if not sampledNot set 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
2014-07-01-7007769-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory07/02/2014Danilo Ferrer
Yes
07/25/2014
2014-07-01-7007769-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory07/02/2014Nemencio Daof
Yes
07/25/2014
2014-07-01-7007769-3CTM 229-June 2011: Method of Test for Durability IndexDanilo FerrerCT - Southern Regional Laboratory07/07/2014Danilo Ferrer
Yes
07/25/2014
2014-07-01-7007769-4CTM 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 Laboratory07/07/2014Vincent Onoh
Yes
07/25/2014