Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-04-08-6

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 Date04/08/2015 Sample Unique Key6
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 testing04/08/2015
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 byJeff Last name of sampler or witnessed byPollard
Title of samplerQC Supervisor Telephone number of samplerUnknown
Laboratory sample identification5053B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan Durbin Transportation Laboratory (TL) NumberC15 51
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 0023
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 collectedStockpiles
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
2015-04-08-6-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesBabak RazaieCT - Southern Regional Laboratory04/20/2015Charles Mcdonald
No
Info
2015-04-08-6-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory04/21/2015Charles Mcdonald
No
Info
2015-04-08-6-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandDanilo FerrerCT - Southern Regional Laboratory04/17/2015Charles Mcdonald
No
Info
2015-04-08-6-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory04/17/2015Charles Mcdonald
No
Info
2015-04-08-6-5CTM 229-June 2011: Method of Test for Durability IndexBabakCT - Southern Regional Laboratory04/20/2015Charles Mcdonald
No
Info