Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-14-31

Project Information

Project IdentifiersProject ID: 209020
DEA: 07288014
EFIS: 0700020957
DIST-CO-RTE-PM07-LA-210-R9.7/R16.1
Award Date10/18/2013
Closeout Date05/10/2017
Work DescriptionREPLACE EXIST PVMT WITH PCC AND HMA AND REPLACE MEDIAN CONC BARRIER.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AND GLENDALE FROM 0.2 MILE WEST OF BIG TUJUNGA WASH BRIDGE TO DUNSMORE AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/10/2014)

Sample Information

Sample Taken Date08/14/2014 Sample Unique Key31
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 testing08/18/2014
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes3 Bags From where was the sample collectedOther
First name of sampler or witnessed byRamzy Last name of sampler or witnessed byNabulsi
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification4234B Linked DIME Sample ID0
The fabricator/manufacturer/facility nameEB 210 Sta 610 00 East of Sunland Blvd On Ramp 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)Unknown
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 collectedSample was taken at approximately Sta 610 00 from a stockpile where crushing machine was processing
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
2014-08-14-31-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory08/20/2014Danilo Ferrer
Yes
02/20/2015
2014-08-14-31-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory10/21/2014Nemencio Daof
Yes
02/20/2015
2014-08-14-31-3CTM 229-June 2011: Method of Test for Durability IndexMartin RuizCT - Southern Regional Laboratory08/22/2014Martin Ruiz
Yes
02/20/2015
2014-08-14-31-4CTM 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 Laboratory08/22/2014Vincent Onoh
Yes
02/20/2015