Sample Record for 2024-10-30-42
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994311 DEA: 080R1704 EFIS: 0812000028
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R25.0/R50.0
Work Description: CONSTRUCT CSP, CSPA, SSPPA, STR CONC HW, IB, BFM, RSP, & MGS.
Location Description: SAN BERNARDINO COUNTY AT NEWBERRY SPRINGS AND LUDLOW FROM 1.6 MILES EAST OF FORT CADY ROAD OVERCROSSING TO CRUCERO ROAD UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Thanh Pham Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-10-30-42
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 10/30/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2024
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond-Victorville
Material Information
Source Identification (SMARA, name of Pit or Job Site): Jobsite
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: At the plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 300154-R25 LSM
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2024-10-30-42-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
Data has not been verified.
