Sample Record

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2022-11-17-72

Project Information

Project IdentifiersProject ID: 993559
DEA: 120R5104
EFIS: 1218000102
DIST-CO-RTE-PM12-ORA-5-36.1
Award Date05/04/2022
Closeout Date01/12/2023
Work DescriptionPLACE RHMA-G AND HIGH FRICTION SURFACE TREATMENT.
Location DescriptionORANGE COUNTY IN ANAHEIM AT KATELLA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/21/2022)

Sample Information

Sample Taken Date11/17/2022 Sample Unique Key72
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing11/20/2022
Sample typeQuality Assurance A brief description of the sampleCalcined Bauxite Agg
The quantity of what the sample constitutes30 lbs From where was the sample collectedJob Site
First name of sampler or witnessed byAndrew, Waleed Last name of sampler or witnessed byFerng, Saleh
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFX Minerals Processing, Inc. 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, name of Pit or Job Site)None
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 collectedSampled from truck
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-17-72-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Danny Chung, CT METS QASI - Los Angeles Design Build Field Laboratory11/20/2022Danny Chung
Yes
12/08/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-11-17-72-1 AASHTO T27-14 (Verified)