Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-02-29-3

Project Information

Project IdentifiersProject ID: 210737
DEA: 073X7114
EFIS: 0715000132
DIST-CO-RTE-PM07-LA-60,126-R7.4/R8.1
Award Date11/16/2015
Closeout Date06/16/2021
Work DescriptionREALIGN RAMPS, WIDEN BRIDGE, AND REPLACE RAMPS PAVEMENT.
Location DescriptionIN LA COUNTY, IN CITY OF MONTEBELLOAT PARAMOUNT BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 12/11/2015)

Sample Information

Sample Taken Date02/29/2016 Sample Unique Key3
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 testing03/01/2016
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base
The quantity of what the sample constitutes2 Bags From where was the sample collectedJob Site
First name of sampler or witnessed bySonny Last name of sampler or witnessed byNogoy
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification6086B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDan Copp Crushing Corp 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)Unknown
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 collectedJob Site
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
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
2016-02-29-3-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent OnohCT - Southern Regional Laboratory03/07/2016Charles Mcdonald
No
Info
2016-02-29-3-2CTM 217-June 2011: Method of Test for Sand EquivalentSatish JainCT - Southern Regional Laboratory03/05/2016Charles Mcdonald
No
Info
2016-02-29-3-3CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory03/07/2016Charles Mcdonald
No
Info