Sample Record for 2025-12-02-22
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000320 DEA: 11430324 EFIS: 1118000102
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-14.6/23.7
Work Description: MODIFY ELECTRICAL, CONCRETE PAVEMENT, DRAINAGE AND SIGNS.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM ROUTE 805/15 SEPARATION TO 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION
Contractor Name: COFFMAN SPECIALTIES, INC.
Contractor Address: 9685 VIA EXCELENCIA STE 200, SAN DIEGO, CA 92126
Resident Engineer: Art Pannu Structure Rep.: Anh Ma
Sample Information
DIME Sample ID: 2025-12-02-22
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: Quality Assurance
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: Concrete Aggregates
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson's Miramar
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: RRM23117
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 |
| 2025-12-02-22-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 12/04/2025 | 12/12/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2025-12-02-22-2 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 12/04/2025 | 12/12/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2025-12-02-22-3 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 12/04/2025 | 12/12/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2025-12-02-22-4 | CTM 217-June 2011: Method of Test for Sand Equivalent | 12/04/2025 | 12/12/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2025-12-02-22-6 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | 12/04/2025 | 12/12/2025 | Ben Haney | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
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