Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-09-24-1

Project Information

Project IdentifiersProject ID: 4069
DEA: 07260704
EFIS: 0700000490
DIST-CO-RTE-PM07-VEN,SB-101-R39.8/R43.6,0.0/2.2
Award Date01/03/2012
Closeout Date08/24/2017
Work DescriptionWIDEN RDWY WITH JPCP OVER LCB, WIDEN BR UC, CONST PED UC & RET WALLS.
Location DescriptionVENTURA AND SANTA BARBARA COUNTIES FROM MOBILE PIER UNDER CROSSING TO 0.4 MILE SOUTH OF CASITAS PASS ROAD
QA Service Level1 (Verified on 03/05/2012)

Sample Information

Sample Taken Date09/24/2014 Sample Unique Key1
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 testing09/24/2014
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 samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification4277B Linked DIME Sample ID0
The fabricator/manufacturer/facility nameCemex Moorpark 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 56 0014
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 collectedCemex Moorpark
Where the material sample would have been placed if not sampledUnknown 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
2014-09-24-1-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory10/03/2014Danilo Ferrer
Yes
02/20/2015
2014-09-24-1-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory09/29/2014Nemencio Daof
Yes
02/20/2015
2014-09-24-1-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory09/30/2014Satish Jain
Yes
02/20/2015
2014-09-24-1-4CTM 217-June 2011: Method of Test for Sand EquivalentSatish JainCT - Southern Regional Laboratory09/30/2014Satish Jain
Yes
02/20/2015
2014-09-24-1-5CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory09/30/2014Satish Jain
Yes
02/20/2015