Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-02-07-42

Project Information

Project IdentifiersProject ID: 993508
DEA: 070W1104
EFIS: 0721000059
DIST-CO-RTE-PM07-LA-210-R35.9/R52.2
Award Date04/04/2022
Closeout DateNot set
Work DescriptionCOLD PLANE OVERLAY, INDIVIDUAL REPLACEMENT SLAB AND TRAFFIC STRIPING.
Location DescriptionLOS ANGELES COUNTY FROM HIGHLAND AVENUE UNDERCROSSING IN DUARTE TO SAN ANTONIO WASH BRIDGE IN CLAREMONT.
QA Service Level1 (Verified on 04/19/2022)

Sample Information

Sample Taken Date02/07/2023 Sample Unique Key42
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 testing02/07/2023
Sample typeAcceptance A brief description of the samplethree quarter inch HMA Type A aggregate
The quantity of what the sample constitutes1 bag From where was the sample collectedFabricator
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byZubieta
Title of samplerTEC Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Irwindale 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)91-19-0035
The fabricator's/manufacturer's product name for the sample3/4 HMA Aggregate The fabricator/manufacturer designation for the sampleDrum Plant
The plant number A detailed description of where the material sample was collectedConveyor Belt at Plant
Where the material sample would have been placed if not sampledHMA Mat Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220831 A Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-02-07-42-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Gerardo Zubieta, CT D07 - Plant Services02/07/2023Gerardo Zubieta
Yes
03/02/2023
2023-02-07-42-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Gerardo Zubieta, CT D07 - Plant Services02/07/2023Gerardo Zubieta
Yes
03/02/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-07-42-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-02-07-42-2 AASHTO T176-08 (Verified)