Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-05-27-16

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 Date05/27/2015 Sample Unique Key16
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 testing05/27/2015
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byManolito Last name of sampler or witnessed byLimos
Title of samplerQC Specialist Telephone number of samplerUnknown
Laboratory sample identification5103B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan Reliance Transportation Laboratory (TL) NumberC15 61
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 19 0016
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
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
2015-05-27-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory06/29/2015Charles Mcdonald
No
Info
2015-05-27-16-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory07/01/2015Charles Mcdonald
No
Info
2015-05-27-16-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory06/30/2015Charles Mcdonald
No
Info
2015-05-27-16-4CTM 217-June 2011: Method of Test for Sand EquivalentVance OlsenCT - Southern Regional Laboratory06/30/2015Charles Mcdonald
No
Info
2015-05-27-16-5CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory07/01/2015Charles Mcdonald
No
Info