Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-19-8

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date08/19/2014 Sample Unique Key8
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 testing08/19/2014
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes1 Bucket From where was the sample collectedSource
First name of sampler or witnessed byDan Last name of sampler or witnessed byChapman
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification4235B Linked DIME Sample ID0
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown 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 sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collected210 Fwy crushing site west of Latunga Canyon
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
2014-08-19-8-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMartin RuizCT - Southern Regional Laboratory08/20/2014Martin Ruiz
Yes
02/20/2015
2014-08-19-8-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory08/22/2014Nemencio Daof
Yes
02/20/2015
2014-08-19-8-3CTM 229-June 2011: Method of Test for Durability IndexMartin RuizCT - Southern Regional Laboratory08/22/2014Martin Ruiz
Yes
02/20/2015
2014-08-19-8-4CTM 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 Laboratory08/25/2014Vincent Onoh
Yes
02/20/2015