Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-28-14

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 Key14
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 sampleWashed Concrete Sand
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 identification4272B 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 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
2014-08-28-14-1CTM 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
2014-08-28-14-2CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory09/29/2014Satish Jain
Yes
02/20/2015
2014-08-28-14-3CTM 217-June 2011: Method of Test for Sand EquivalentDanilo FerrerCT - Southern Regional Laboratory09/26/2014Danilo Ferrer
Yes
02/20/2015
2014-08-28-14-4CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory09/29/2014Nemencio Daof
Yes
02/20/2015