Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-07-14-7299125

Project Information

Project IdentifiersProject ID: 3951
DEA: 07202114
EFIS: 0700020869
DIST-CO-RTE-PM07-LA-710-17.2/26.4
Award Date04/04/2012
Closeout Date06/16/2021
Work DescriptionPAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location DescriptionLOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/27/2012)

Sample Information

Sample Taken Date07/14/2014 Sample Unique Key7299125
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 testing07/16/2014
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes2 Bags From where was the sample collectedOther
First name of sampler or witnessed byChristian Last name of sampler or witnessed byCruz
Title of samplerMaterials Tester Telephone number of samplerUnknown
Laboratory sample identification4191B Linked DIME Sample ID0
The fabricator/manufacturer/facility nameSta 1146 65 to 1156 30 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)Sta 1150 16 SB outside lane
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 collectedSta 1146 65 to 1156 30
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
2014-07-14-7299125-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory07/22/2014Danilo Ferrer
Yes
02/20/2015
2014-07-14-7299125-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory07/22/2014Nemencio Daof
Yes
02/20/2015
2014-07-14-7299125-3CTM 229-June 2011: Method of Test for Durability IndexDanilo FerrerCT - Southern Regional Laboratory07/22/2014Danilo Ferrer
Yes
02/20/2015
2014-07-14-7299125-4CTM 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 Laboratory07/25/2014Vincent Onoh
Yes
02/20/2015