Sample Record for 2024-11-04-21
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000101 DEA: 081J2904 EFIS: 0818000015
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-215-25.0/R31.2
Work Description: RHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location Description: RIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY
Contractor Name: COFFMAN SPECIALTIES, INC.
Contractor Address: 9685 Via Excelencia, Suite 200, San Diego, CA 92126
Resident Engineer: Mohamad Alsheikh Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-11-04-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 11/04/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2024
The quantity of what the sample constitutes: 6 Bags Comb Agg. (3/4", 1/2", 3/8", Rock Dust, Washed Man Sand), 3 Bags of RAP
A brief description of the sample: PSUE 3/4" HMA-A-SP R25 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0605A-24
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Chandler Agg/ Valero/ Ingevity
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0098
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Martin Marieta - Lake Elsinore Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 53417195
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2024-11-04-21-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-2 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-3 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-4 | AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-5 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-6 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-7 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-8 | ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles) | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-9 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
| 2024-11-04-21-10 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 11/07/2024 | Not scheduled | David Tran | CT D08 - Fontana Southern Regional Laboratory | | |
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