Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2015-01-23-2

Project Information

Project IdentifiersProject ID: 209358
DEA: 07296704
EFIS: 0713000086
DIST-CO-RTE-PM07-VEN-118-T18.7/R32.6
Award Date04/29/2014
Closeout Date07/14/2016
Work DescriptionPLACE HMA SUPERPAVE AND REPLACE CONCRETE SLABS.
Location DescriptionVENTURA COUNTY IN MOORPARK AND SIMI VALLEY FROM ARROYO SIMI OVERHEAD TO VENTURA COUNTY/LOS ANGELES COUNTY LINE
QA Service Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date01/23/2015 Sample Unique Key2
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 testing01/26/2015
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes2 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 identification5015B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility namePW Gillibran Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91 56 0021
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
2015-01-23-2-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT D08 - Fontana Southern Regional Laboratory01/27/2015Danilo Ferrer
Yes
02/23/2015
2015-01-23-2-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanilo FerrerCT D08 - Fontana Southern Regional Laboratory01/27/2015Danilo Ferrer
Yes
02/23/2015
2015-01-23-2-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNader RashidiCT D08 - Fontana Southern Regional Laboratory01/28/2015Nader Rashidi
Yes
02/23/2015
2015-01-23-2-4CTM 217-June 2011: Method of Test for Sand EquivalentDanilo FerrerCT D08 - Fontana Southern Regional Laboratory01/27/2015Danilo Ferrer
Yes
02/23/2015
2015-01-23-2-5CTM 229-June 2011: Method of Test for Durability IndexDanilo FerrerCT D08 - Fontana Southern Regional Laboratory01/27/2015Danilo Ferrer
Yes
02/23/2015

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2015-01-23-2-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2015-01-23-2-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2015-01-23-2-3 CTM 213-December 2012 (Verified)
DIME Test ID: 2015-01-23-2-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2015-01-23-2-5 CTM 229-June 2011 (Verified)