Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-09-01-4

Project Information

Project IdentifiersProject ID: 7427
DEA: 07215934
EFIS: 0700001833
DIST-CO-RTE-PM07-LA-5-2.4/4.0
Award Date08/14/2012
Closeout Date02/20/2020
Work DescriptionWiden and Realign Freeway and Construct Ped OC, OC and UC Structures.
Location DescriptionLOS ANGELES COUNTY IN SANTA FE SPRINGS AND NORWALK FROM 0.1 MILE NORTH OF CARMENITA ROAD OVERCROSSING TO 0.1 MILE NORTH OF SILVERBOW AVENUE PEDESTRIAN OVERCROSSING
QA Service Level1 (Verified on 11/26/2012)

Sample Information

Sample Taken Date09/01/2015 Sample Unique Key4
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 testing09/02/2015
Sample typeAcceptance A brief description of the sampleClass 2 and 3 Aggregate Base
The quantity of what the sample constitutes4 Bags From where was the sample collectedJob Site
First name of sampler or witnessed byArnold Last name of sampler or witnessed byTroung
Title of samplerMREA Telephone number of samplerUnknown
Laboratory sample identification5229B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNA Transportation Laboratory (TL) NumberC964802
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)Unknown
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 collectedStation 201 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
2015-09-01-4-1CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory09/08/2015Charles Mcdonald
No
Info
2015-09-01-4-2CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory09/07/2015Charles Mcdonald
No
Info