Sample Record for 2025-12-02-21
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001213 DEA: 11431644 EFIS: 1122000232
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-78-N17.7
Work Description: Cold plane, RHMA overlay, Concrete Barriers, Landscape and Electrical.
Location Description: IN SAN DIEGO COUNTY FROM ROUTE 78/5 SEPARATION TO 0.3 MILE EAST OF ESCONDIDO BOULEVARD UNDERCROSSING.
Contractor Name: Skanska USA Civil West
Contractor Address: 1995 Agua Mansa Rd., Riverside, CA 92509
Resident Engineer: Yong Pak Structure Rep.: Carlos Lopez
Sample Information
DIME Sample ID: 2025-12-02-21
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Per Request
Type of Material: Aggregate
Sample Taken Date: 12/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/03/2025
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: Plant Sample
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Escondido
Material Information
Source Identification (SMARA, name of Pit or Job Site): Not Provided
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: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: 1610838
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 |
| 2025-12-02-21-1 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | 12/04/2025 | 12/11/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2025-12-02-21-2 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 12/04/2025 | 12/11/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | 3/8" | Mohammad Abbassi |
| 2025-12-02-21-3 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 12/04/2025 | 12/11/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | 1" | Mohammad Abbassi |
| 2025-12-02-21-4 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 12/04/2025 | 12/11/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | Sand | Mohammad Abbassi |
| 2025-12-02-21-5 | CTM 217-June 2011: Method of Test for Sand Equivalent | 12/04/2025 | 12/11/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
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