Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-06-17-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date06/17/2016 Sample Unique Key18
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 testing05/17/2016
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byOsvaldo Last name of sampler or witnessed byGuzman
Title of samplerQC Tech Telephone number of samplerUnknown
Laboratory sample identification6178B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameVulcan Reliance Transportation Laboratory (TL) NumberC-16-106
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 0016
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 numberUnknown Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-06-17-18-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMd ShahjahanCT - Southern Regional Laboratory06/02/2016Charles Mcdonald
Yes
10/15/2019
2016-06-17-18-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory06/09/2016Charles Mcdonald
Yes
10/15/2019
2016-06-17-18-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandMd ShahjahanCT - Southern Regional Laboratory06/08/2016Charles Mcdonald
Yes
10/15/2019
2016-06-17-18-4CTM 217-June 2011: Method of Test for Sand EquivalentMd ShahjahanCT - Southern Regional Laboratory06/03/2016Charles Mcdonald
Yes
10/15/2019
2016-06-17-18-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory06/10/2016Charles Mcdonald
Yes
10/15/2019