Sample Record for 2023-10-28-12
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994869 DEA: 073237U4 EFIS: 0720000224
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-150-13.3/19
Work Description: PLACE HMA (TYPE A) AND COLD PLANE ASPHALT
Location Description: VENTURA COUNTY IN AND NEAR OJAI FROM BURNHAM ROAD TO GORHAM ROAD
Contractor Name: C. A. RASMUSSEN INC.
Contractor Address: 28548 Livingston Ave., Valencia, CA, 91355
Resident Engineer: Denrick Bautista Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2023-10-28-12
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: 10/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2023
The quantity of what the sample constitutes: 4 Bags Of Comb. Agg.
A brief description of the sample: JMF 3/4" HMA-A-SP R30 0.5% LAS
From where was the sample collected: Manufacturer
Laboratory sample identification: 0556A-23
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan- Saticoy
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-19-0035
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: Belt Cut at Vulcan -Saticoy
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: 220203E SAT LTR
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 |
| 2023-10-28-12-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-2 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-3 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-4 | 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) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-5 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-6 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-7 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-8 | 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) | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-9 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2023-10-28-12-10 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 10/31/2023 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
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