Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-06-04-13456437

Project Information

Project IdentifiersProject ID: 7427
DEA: 07215934
EFIS: 0700001833
DIST-CO-RTE-PM07-LA-5-2.4/4.0
Award Date08/14/2012
Closeout Date02/20/2020
Work DescriptionWiden and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
QA Service Level1 (Verified on 11/26/2012)

Sample Information

Sample Taken Date06/04/2014 Sample Unique Key13456437
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 testing06/04/2014
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
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 sampler Telephone number of sampler
Laboratory sample identification4198B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameVulcan Materials Company Reliance 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 91-19-0016
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpiles
Where the material sample would have been placed if not sampled 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
2014-06-04-13456437-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish JainCT - Southern Regional Laboratory08/12/2014Satish Jain
Yes
02/20/2015
2014-06-04-13456437-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory07/29/2014Nemencio Daof
Yes
02/20/2015
2014-06-04-13456437-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory08/12/2014Satish Jain
Yes
02/20/2015
2014-06-04-13456437-4CTM 217-June 2011: Method of Test for Sand EquivalentSatish JainCT - Southern Regional Laboratory08/12/2014Satish Jain
Yes
02/20/2015
2014-06-04-13456437-5CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory08/13/2014Satish Jain
Yes
02/20/2015

Test Card Drafts

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