Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-06-07-20

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209918
DEA: 07274804
EFIS: 0700000516
DIST-CO-RTE-PM07-LA-18-0.2
Award Date12/09/2014
Closeout Date01/15/2018
Work DescriptionREPLACE BRIDGE DECK AND RAILING, REPAIR BENT CAPS AND COLUMNS.
Location DescriptionLOS ANGELES COUNTY AT LLANO AT COUNTY LINE OVERHEAD
QA Service Level1 (Verified on 01/08/2015)

Sample Information

Sample Taken Date06/07/2016 Sample Unique Key20
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 testing06/09/2016
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 byStefan Last name of sampler or witnessed byReder
Title of samplerQA Manager Telephone number of samplerUnknown
Laboratory sample identification6239B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHi Grade Materials Company Littlerock 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 0026
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
2016-06-07-20-1CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory06/28/2016Charles Mcdonald
Yes
10/15/2019
2016-06-07-20-2CTM 217-June 2011: Method of Test for Sand EquivalentJose MendezCT - Southern Regional Laboratory06/27/2016Charles Mcdonald
Yes
10/15/2019
2016-06-07-20-3CTM 229-June 2011: Method of Test for Durability IndexJose JimenezCT - Southern Regional Laboratory06/27/2016Charles Mcdonald
Yes
10/15/2019
2016-06-07-20-4CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandMD ShahjahanCT - Southern Regional Laboratory06/28/2016Charles Mcdonald
Yes
10/15/2019
2016-06-07-20-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJose MendezCT - Southern Regional Laboratory06/27/2016Charles Mcdonald
Yes
10/15/2019