Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-07-22-6454269

Project Information

Project IdentifiersProject ID: 209139
DEA: 071170U4
EFIS: 0700000085
DIST-CO-RTE-PM07-LA-10-33.2/37.2
Award Date02/10/2014
Closeout Date03/01/2022
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 Date07/22/2014 Sample Unique Key6454269
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 testing07/22/2014
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 collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification4195B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHolliday Rock Upland 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 36 0003
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
2014-07-22-6454269-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory07/24/2014Danilo Ferrer
Yes
02/23/2015
2014-07-22-6454269-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanilo FerrerCT - Southern Regional Laboratory07/25/2014Danilo Ferrer
Yes
02/23/2015
2014-07-22-6454269-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory07/25/2014Satish Jain
Yes
02/23/2015
2014-07-22-6454269-4CTM 217-June 2011: Method of Test for Sand EquivalentDanilo FerrerCT - Southern Regional Laboratory07/25/2014Danilo Ferrer
Yes
02/23/2015
2014-07-22-6454269-5CTM 229-June 2011: Method of Test for Durability IndexMartin RuizCT - Southern Regional Laboratory07/25/2014Martin Ruiz
Yes
02/23/2015