Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-07-22-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210829
DEA: 07302904
EFIS: 0713000478
DIST-CO-RTE-PM07-LA-5-C43.9/C46.4
Award Date01/13/2016
Closeout Date06/25/2019
Work DescriptionREPLACE CONCRETE SLABS/PAVEMENT.
Location DescriptionIN LA, RT 5 TRUCK LANES CNTY LN ROAD OVERHEAD TO 0.2 MILE SOUTH OF WELDON CANYON OVERCROSSING
QA Service Level1 (Verified on 12/16/2015)

Sample Information

Sample Taken Date07/22/2016 Sample Unique Key15
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 testing08/01/2016
Sample typeAcceptance A brief description of the sampleThree quarter inch Max Class Three 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 samplerTE Telephone number of samplerUnknown
Laboratory sample identification6301B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberC 923506
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 collectedRoadway
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
2016-07-22-15-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesJose GuzmanCT - Southern Regional Laboratory08/08/2016Charles Mcdonald
Yes
07/08/2019
2016-07-22-15-2CTM 217-June 2011: Method of Test for Sand EquivalentJose MendezCT - Southern Regional Laboratory08/09/2016Charles Mcdonald
Yes
07/08/2019
2016-07-22-15-3CTM 229-June 2011: Method of Test for Durability IndexJose MendezCT - Southern Regional Laboratory08/04/2016Charles Mcdonald
Yes
07/08/2019
2016-07-22-15-4CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerMd ShahjahanCT - Southern Regional Laboratory08/11/2016Charles Mcdonald
Yes
06/06/2019