DIME - Sample Record for DIME Sample ID 2019-04-01-25

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Sample Record

Owner Lab

CGI Technical Services, Incorporated

DIME Sample ID 2019-04-01-25

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Project Information

Project Identifiers	Project ID: 212753 DEA: 020H7604 EFIS: 0215000086
DIST-CO-RTE-PM	02-LAS,PLU-VAR-VAR
Award Date	03/28/2019
Closeout Date	09/02/2020
Work Description	FULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location Description	LASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395
QA Service Level	1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date	04/01/2019	Sample Unique Key	25
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	04/01/2019
Sample type	Quality Control	A brief description of the sample	Combined Aggregate
The quantity of what the sample constitutes	Mix Design	From where was the sample collected	Source
First name of sampler or witnessed by	Ted	Last name of sampler or witnessed by	Kinsey
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Hat Creek - Ward Lake	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-18-0008::WARD LAKE PIT
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Plant Stockpile
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

JMF Information

HMA Design ID	JMF3512-2019-98-19-1278.106	Date Created	05/08/2019
Submittal	JMF3511-227-2019-85 Submittal Authorized For Use\| JMF3513-2019-84

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-04-01-25-1	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Ted Kinsey, CGI Technical Services, Incorporated	04/22/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-2	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Ted Kinsey, CGI Technical Services, Incorporated	04/22/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-3	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Ted Kinsey, CGI Technical Services, Incorporated	04/22/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-4	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)	Ted Kinsey, CGI Technical Services, Incorporated	04/23/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-5	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	Ted Kinsey, CGI Technical Services, Incorporated	04/23/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-6	AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)	Ted Kinsey, CGI Technical Services, Incorporated	04/23/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-7	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)	Ted Kinsey, CGI Technical Services, Incorporated	04/24/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-8	CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)	Ted Kinsey, CGI Technical Services, Incorporated	04/25/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-9	AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)	Ted Kinsey, CGI Technical Services, Incorporated	04/25/2019	Vikram Kyatham	Yes	05/08/2019
2019-04-01-25-10	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)	Ted Kinsey, CGI Technical Services, Incorporated	04/25/2019	Vikram Kyatham	Yes	05/08/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-04-01-25-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2019-04-01-25-2 AASHTO T335-09r13 (Verified)
DIME Test ID: 2019-04-01-25-3 AASHTO T335-09r13 (Verified)
DIME Test ID: 2019-04-01-25-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2019-04-01-25-5 AASHTO T176-08 (Verified)
DIME Test ID: 2019-04-01-25-6 AASHTO T304-11 (Verified)
DIME Test ID: 2019-04-01-25-7 ASTM D4791-10 (Verified)
DIME Test ID: 2019-04-01-25-8 CTM 204-June 2010 (Verified)
DIME Test ID: 2019-04-01-25-9 AASHTO T85-13 (Verified)
DIME Test ID: 2019-04-01-25-10 ASTM D4791-10 (Verified)
DIME Test ID: 2019-04-01-25-11 AASHTO T84-14 (Verified)
DIME Test ID: 2019-04-01-25-12 AASHTO T210-15 (Verified)