Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-11-05-12

Project Information

Project IdentifiersProject ID: 7409
DEA: 07245403
EFIS: 0700000431
Award Date02/29/2012
Closeout Date10/27/2016
Work DescriptionConstruct Connector between I-10 and I-605 (Design Build Project) LA-10-31.1/32.3, LA-605-R20.2/20.6
Location Description10 & 605 IC
QA Service Level1 (Verified on 03/14/2013)

Sample Information

Sample Taken Date11/05/2014 Sample Unique Key12
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 testing11/07/2014
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes3 Buckets From where was the sample collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification4298B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNational Ready Mix Concrete Company Transportation Laboratory (TL) NumberUnknown
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 0015
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 Sizefine
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
2014-11-05-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVance OlsenCT - Southern Regional Laboratory12/03/2014Vance Olsen
2014-11-05-12-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemenco DaofCT - Southern Regional Laboratory11/17/2014Nemenco Daof
2014-11-05-12-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory11/17/2014Satish Jain
2014-11-05-12-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory11/14/2014Nemencio Daof
2014-11-05-12-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory11/17/2014Nemencio Daof