Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-01-20-5

Project Information

Project IdentifiersProject ID: 3958
DEA: 07215914
EFIS: 0700001831
DIST-CO-RTE-PM07-LA-5-1.2/2.1
Award Date12/31/1969
Closeout Date06/14/2016
Work DescriptionWIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
QA Service Level1 (Verified on 05/01/2012)

Sample Information

Sample Taken Date01/20/2015 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 testing01/21/2015
Sample typeAcceptance A brief description of the sampleClass 3 Aggregate Base
The quantity of what the sample constitutes2 bags From where was the sample collectedJob Site
First name of sampler or witnessed byJose Last name of sampler or witnessed byBurbano
Title of samplerAssistant RE Telephone number of samplerUnknown
Laboratory sample identification5014B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameWindrows placed on route 5 SB section Sta 89 50 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)Unknown
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 collectedWindrows placed on route 5 SB section Sta 89 50
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
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
2015-01-20-5-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent OnohCT - Southern Regional Laboratory01/23/2015Vincent Onoh
Yes
02/23/2015
2015-01-20-5-2CTM 217-June 2011: Method of Test for Sand EquivalentVincent OnohCT - Southern Regional Laboratory01/23/2015Vincent Onoh
Yes
02/23/2015
2015-01-20-5-3CTM 229-June 2011: Method of Test for Durability IndexVincent OnohCT - Southern Regional Laboratory01/26/2015Vincent Onoh
Yes
02/23/2015
2015-01-20-5-4CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory01/28/2015Vincent Onoh
Yes
02/23/2015