Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-01-11-4

Project Information

Project IdentifiersProject ID: 209141
DEA: 07215954
EFIS: 0700001835
DIST-CO-RTE-PM07-LA-5-0.0/7.6
Award Date04/24/2014
Closeout DateNot set
Work DescriptionWIDENING FREEWAY AND RECONSTRUCT OVERHEAD AND OVERCROSSING STRUCTURES
Location DescriptionLOS ANGELES COUNTY IN LA MIRADA, SANTA FE SPRINGS, NORWALK AND DOWNEY FROM ORANGE COUNTY/LOS ANGELES COUNTY LIMIT LINES TO 0.7 MILE NORTH OF ROUTE 605
QA Service Level1 (Verified on 06/02/2014)

Sample Information

Sample Taken Date01/11/2016 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 testing01/26/2016
Sample typeAnnual Source Testing A brief description of the sampleThree quarter inch crushed as One by Four PCC Aggregates
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byBong Last name of sampler or witnessed byLimos
Title of samplerQA Technician Telephone number of samplerUnknown
Laboratory sample identification6021B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan San Bernardino Transportation Laboratory (TL) NumberC-16-95
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 36 0012
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 Size1 inch
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
2016-01-11-4-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMD ShahjahanCT - Southern Regional Laboratory01/30/2016Charles Mcdonald
No
Info
2016-01-11-4-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateNader RashidiCT - Southern Regional Laboratory02/01/2016Charles Mcdonald
No
Info
2016-01-11-4-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineNader RashidiCT - Southern Regional Laboratory02/01/2016Charles Mcdonald
No
Info
2016-01-11-4-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateSatish JainCT - Southern Regional Laboratory02/10/2016Charles Mcdonald
No
Info
2016-01-11-4-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)MD ShahjahanCT - Southern Regional Laboratory01/28/2016Charles Mcdonald
No
Info