Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-10-08-8

Project Information

Project IdentifiersProject ID: 209019
DEA: 071952U4
EFIS: 0700000201
DIST-CO-RTE-PM07-VEN-23,101-3.3/3.8,R0.1/R4.5
Award Date11/21/2013
Closeout Date06/25/2019
Work DescriptionWIDEN FREEWAY AND RAMPS AND RECONSTRUCT MEDIAN.
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS ON ROUTE 101 FROM 0.6 MILE SOUTH OF WESTLAKE BOULEVARD OVERCROSSING TO 0.4 MILE NORTH OF MOORPARK ROAD UNDERCROSSING AND ON ROUTE 23 FROM ROUTE 101 TO 0.1 MILE NORTH OF HILLCREST DRIVE UNDERCROSSING
QA Service Level1 (Verified on 08/13/2013)

Sample Information

Sample Taken Date10/08/2015 Sample Unique Key8
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 testing10/22/2015
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byJason Last name of sampler or witnessed byTurner
Title of samplerQuality Control Supervisor Telephone number of samplerUnknown
Laboratory sample identification5264B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Azusa Quarry Transportation Laboratory (TL) NumberUnknown
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 0007
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 at Cemex Azusa Quarry
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
2015-10-08-8-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory11/17/2015Charles Mcdonald
No
Info
2015-10-08-8-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory10/17/2015Charles Mcdonald
No
Info
2015-10-08-8-3CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory10/17/2015Charles Mcdonald
No
Info
2015-10-08-8-4CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNader RashidiCT - Southern Regional Laboratory10/27/2015Charles Mcdonald
No
Info
2015-10-08-8-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory10/17/2015Charles Mcdonald
No
Info