Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-01-06-5

Project Information

Project IdentifiersProject ID: 3951
DEA: 07202114
EFIS: 0700020869
DIST-CO-RTE-PM07-LA-710-17.2/26.4
Award Date04/04/2012
Closeout Date06/16/2021
Work DescriptionPAVE ROADWAY WITH LONG LIFE PAVEMENT AND WIDEN ROADWAY AND BRIDGES
Location DescriptionLOS ANGELES COUNTY ON ROUTE 710 AT VARIOUS LOCATIONS FROM LOS ANGELES RIVER BRIDGE TO RAMONA BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 11/27/2012)

Sample Information

Sample Taken Date01/06/2015 Sample Unique Key5
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 testing01/06/2015
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 collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification5007B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameFosters Riverside 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 33 0001
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
2015-01-06-5-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory01/08/2015Danilo Ferrer
Yes
02/23/2015
2015-01-06-5-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNader RashidiCT - Southern Regional Laboratory01/08/2015Nader Rashidi
Yes
02/23/2015
2015-01-06-5-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory01/08/2015Satish Jain
Yes
02/23/2015
2015-01-06-5-4CTM 217-June 2011: Method of Test for Sand EquivalentDanilo FerrerCT - Southern Regional Laboratory01/08/2015Danilo Ferrer
Yes
02/23/2015
2015-01-06-5-5CTM 229-June 2011: Method of Test for Durability IndexDanilo FerrerCT - Southern Regional Laboratory01/08/2015Danilo Ferrer
Yes
02/23/2015