Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-07-24-14002336

Project Information

Project IdentifiersProject ID: 3804
DEA: 07120304
EFIS: 0700000107
COOP: ENV005
DIST-CO-RTE-PM07-LA-405-29.5-39.5
Award Date06/02/2009
Closeout DateNot set
Work DescriptionDesign-Build 405 HOV Sepulveda Pass Widening Project-Northbound HOV Widening on I-405 from I-10 to US 101
Location DescriptionOn the west side of Los Angeles from I-10 to US 101
QA Service Level2 (Verified on 05/01/2013)

Sample Information

Sample Taken Date07/24/2013 Sample Unique Key14002336
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/26/2013
Sample typeAcceptance A brief description of the sample3/4 Max Class 2 Aggregate Base
The quantity of what the sample constitutes2 Bags 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 identification3199B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameStockpile at NB Getty Yard. 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 collectedStockpile at NB Getty Yard.
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
2013-07-24-14002336-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory08/13/2013Nader Rashidi
Yes
02/20/2015
2013-07-24-14002336-2CTM 217-June 2011: Method of Test for Sand EquivalentFarzin FarahCT - Southern Regional Laboratory08/14/2013Farzin Farah
Yes
02/20/2015
2013-07-24-14002336-3CTM 229-June 2011: Method of Test for Durability IndexNader RashidiCT - Southern Regional Laboratory08/13/2013Nader Rashidi
Yes
02/20/2015
2013-07-24-14002336-4CTM 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 Laboratory08/16/2013Vincent Onoh
Yes
02/20/2015