Sample Record

Owner Lab

  • CT D07 Plant Services

DIME Sample ID 2022-04-01-24

Project Information

Project IdentifiersProject ID: 211260
DEA: 072159U4
EFIS: 0715000160
DIST-CO-RTE-PM07-LA,ORA-5-0.0/1.5, 44.3/44.4
Award Date05/27/2016
Closeout DateNot set
Work DescriptionCONSTRUCT HOV LANES AND MIX FLOW LANES.
Location DescriptionLOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
QA Service Level1 (Verified on 03/16/2016)

Sample Information

Sample Taken Date04/01/2022 Sample Unique Key24
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 testing04/15/2022
Sample typeQuality Assurance A brief description of the sampleLCB Aggregate
The quantity of what the sample constitutes1200 cy From where was the sample collectedSource
First name of sampler or witnessed byAvo Last name of sampler or witnessed byKarajian
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSecurity Paving Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)CMB
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-01-24-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAvo KarajianCT D07 Plant Services04/15/2022Avo Karajian
Yes
04/18/2022
2022-04-01-24-2CTM 217-June 2011: Method of Test for Sand EquivalentAvo KarajianCT D07 Plant Services04/15/2022Avo Karajian
Yes
04/18/2022
2022-04-01-24-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingAvo KarajianCT D07 Plant Services04/15/2022Avo Karajian
Yes
04/18/2022