Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-11-10-36

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date11/10/2022 Sample Unique Key36
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 testing11/10/2022
Sample typeQuality Assurance A brief description of the sample1/2x4 coarse aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byVincent / David Last name of sampler or witnessed byTran / Nguyen
Title of samplerTransportation Engineer Technician Telephone number of sampler949-473-4006 / 949-279-8470
Laboratory sample identification22-1151 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Fountain Valley Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Orca Quarry / Port McNeill (B.C. Canada)
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile at the Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberOR576SCP-8 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-10-36-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent Tran / David NguyenCT D12 - Huntington Beach Field Laboratory11/10/2022Vincent Tran
No
Info
2022-11-10-36-2CTM 217-June 2011: Method of Test for Sand EquivalentVincent Tran / David NguyenCT D12 - Huntington Beach Field Laboratory11/10/2022Vincent Tran
No
Info
2022-11-10-36-3CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Vincent Tran / David NguyenCT D12 - Huntington Beach Field Laboratory11/10/2022Vincent Tran
No
Info
2022-11-10-36-4CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingVincent Tran / David NguyenCT D12 - Huntington Beach Field Laboratory11/10/2022Vincent Tran
No
Info
2022-11-10-36-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent Tran / David NguyenCT D12 - Huntington Beach Field Laboratory11/10/2022Vincent Tran
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
22-1151pdf11/18/2022   Info

Test File Attachments


DIME Test ID: 2022-11-10-36-1 CTM 202-November 2011
DIME Test ID: 2022-11-10-36-2 CTM 217-June 2011
DIME Test ID: 2022-11-10-36-3 CTM 227-December 2014
DIME Test ID: 2022-11-10-36-4 CTM 226-July 2010
DIME Test ID: 2022-11-10-36-5 CTM 202-November 2011