Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-10-24-6

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date04/14/2014
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND WEST COVINA FROM 0.1 MILE WEST OF PUENTE AVENUE UNDERCROSSING TO 0.2 MILE EAST OF HOLLENBECK STREET UNDERCROSSING
QA Service Level1 (Verified on 05/06/2014)

Sample Information

Sample Taken Date10/24/2014 Sample Unique Key6
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 testing11/13/2014
Sample typeAnnual Source Testing A brief description of the sampleOne inch PCC Aggregates
The quantity of what the sample constitutes9 Bags From where was the sample collectedOther
First name of sampler or witnessed byTom Last name of sampler or witnessed byMilum
Title of samplerQC Technician Telephone number of samplerUnknown
Laboratory sample identification4306B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRobertsons Harlow Quarry Transportation Laboratory (TL) NumberC 14 000023
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 91-33-0061
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 Size1 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
2014-10-24-6-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVance OlsenCT - Southern Regional Laboratory11/24/2014Vance Olsen
Yes
02/20/2015
2014-10-24-6-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateFarzin FarahCT - Southern Regional Laboratory11/26/2014Farzin Farah
Yes
02/20/2015
2014-10-24-6-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineNader RashidiCT - Southern Regional Laboratory11/25/2014Nader Rashidi
Yes
02/20/2015
2014-10-24-6-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateDanilo FerrerCT - Southern Regional Laboratory12/18/2014Danilo Ferrer
Yes
02/20/2015
2014-10-24-6-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Nader RashidiCT - Southern Regional Laboratory11/25/2014Nader Rashidi
Yes
02/20/2015