Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-28-13

Project Information

Project IdentifiersProject ID: 209583
DEA: 07295004
EFIS: 0713000008
DIST-CO-RTE-PM07-LA-10-41.7/48.3
Award Date07/07/2014
Closeout Date03/21/2016
Work DescriptionCOLD PLANE AC PVMT AND PLACE RUBBERIZED HMA, SUPERPAVE.
Location DescriptionLOS ANGELES COUNTY IN POMONA, SAN DIMAS AND CLAREMONT FROM 0.7 MILE WEST OF ROUTE 10/57 SEPARATION TO SAN BERNARDINO COUNTY LINE
QA Service Level1 (Verified on 06/04/2014)

Sample Information

Sample Taken Date08/28/2014 Sample Unique Key13
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 testing09/22/2014
Sample typeAnnual Source Testing A brief description of the sampleThree eighths inch PCC Aggregates
The quantity of what the sample constitutes2 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 identification4271B Linked DIME Sample ID0
The fabricator/manufacturer/facility nameCemex Azusa Quarry 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 0007
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 collectedStockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
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
2014-08-28-13-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesCharles McDonaldCT - Southern Regional Laboratory09/24/2014Charles McDonald
Yes
02/20/2015
2014-08-28-13-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateCharles McDonaldCT - Southern Regional Laboratory09/26/2014Charles McDonald
Yes
02/20/2015
2014-08-28-13-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineCharles McDonaldCT - Southern Regional Laboratory09/26/2014Charles McDonald
Yes
02/20/2015
2014-08-28-13-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNader RashidiCT - Southern Regional Laboratory10/08/2014Nader Rashidi
Yes
02/20/2015
2014-08-28-13-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Charles McdonaldCT - Southern Regional Laboratory09/24/2014Charles Mcdonald
Yes
02/20/2015