Sample Record

Owner Lab

  • CT D07 - Material Lab, Unit 1953

DIME Sample ID 2021-11-17-2

Project Information

Project IdentifiersProject ID: 214620
DEA: 07309304
EFIS: 0714000281
DIST-CO-RTE-PM07-LA-210,405,605-Various
Award Date03/18/2020
Closeout DateNot set
Work DescriptionREINFORCE STRUCTURAL CONCRETE BRIDGE AND PLACE RHMA SHOULDER PAVING.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date11/17/2021 Sample Unique Key2
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 testing11/17/2021
Sample typeAcceptance A brief description of the sampleAggregate Base
The quantity of what the sample constitutes1610 sqft From where was the sample collectedJob Site
First name of sampler or witnessed byChad Last name of sampler or witnessed byChotibhongs
Title of samplerMREA Telephone number of sampler213-817-0387
Laboratory sample identification21-2806 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)NA
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 collectedCTM 231 Test Holes
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-17-2-1CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and AggregatesChad ChotibhongsCT D07 - Material Lab, Unit 195311/17/2021Chad Chotibhongs
No
Info
2021-11-17-2-2CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear GagesChad ChotibhongsCT D07 - Material Lab, Unit 195311/17/2021Chad Chotibhongs
No
Info
2021-11-17-2-3CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and AggregatesChad ChotibhongsCT D07 - Material Lab, Unit 195311/17/2021Chad Chotibhongs
No
Info
2021-11-17-2-4CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear GagesChad ChotibhongsCT D07 - Material Lab, Unit 195311/17/2021Chad Chotibhongs
No
Info