Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-03-10-5

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout DateNot set
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date03/10/2015 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 testing03/10/2015
Sample typeAcceptance A brief description of the sampleClass 4 Aggregate Subbase
The quantity of what the sample constitutes2 bags From where was the sample collectedJob Site
First name of sampler or witnessed byArnold Last name of sampler or witnessed byTruong
Title of samplerMREA Telephone number of samplerUnknown
Laboratory sample identification5032B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNone Transportation Laboratory (TL) NumberC916887
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)25th Street Recycling
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 collectedStockpile at Sta 327 00
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
No results found.