Sample Record for 2022-06-29-27
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215349 DEA: 081C0824 EFIS: 0816000087
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R104.9/R134.2
Work Description: PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location Description: RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
Contractor Name: FISHER SAND & GRAVEL CO.
Contractor Address: 1302 W DRIVERS WAY, TEMPE, AZ. 85284
Resident Engineer: Khoi Vu Structure Rep.: Shukri Abouazra
Sample Information
DIME Sample ID: 2022-06-29-27
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: 06/29/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/05/2022
The quantity of what the sample constitutes: @ Bags Of Combined L.T. Agg., 2 Bags CombinedVirgin Agg.,
A brief description of the sample: PSUE 3/4" HMA-A-SP R24 1.0% LSM
From where was the sample collected: Manufacturer
Laboratory sample identification: 0421A-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fisher Sand and Gravel-Tempe
Material Information
Source Identification (SMARA, name of Pit or Job Site): CM203
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number: CA125 LSM
A detailed description of where the material sample was collected: Belt Cut at Fisher Sand and Gravel
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:
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 |
| 2022-06-29-27-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-2 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-3 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-4 | 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) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-5 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-6 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-7 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-8 | 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) | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-9 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2022-06-29-27-10 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 07/06/2022 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
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