DIME - Sample Record for DIME Sample ID 2020-04-14-49

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Sample Record

Owner Lab

CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2020-04-14-49

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Project Information

Project Identifiers	Project ID: 214492 DEA: 033F5404 EFIS: 0313000136
DIST-CO-RTE-PM	03-SAC-99,160-4.5/5.7,R44.5
Award Date	01/24/2020
Closeout Date	07/28/2022
Work Description	FURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location Description	SACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
QA Service Level	1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date	04/14/2020	Sample Unique Key	49
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	04/15/2020
Sample type	Verification	A brief description of the sample	1/2 inch HMA - A (SP)
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Walt	Last name of sampler or witnessed by	Wylie (Witness)
Title of sampler	Teichert Personnel	Telephone number of sampler
Laboratory sample identification	JMF20-014	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Teichert Perkins Batch Plant	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)	91-34-0045::ASPEN IV SOUTH
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	Hot Bins
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

JMF Information

Verification ID	JMF3513-2020-222	Date Created	11/25/2020
JMF Submittal ID	JMF3511-23-2020-310	JMF Status	Submittal Accepted for Verification
Producer Mix ID	PN202004-SP	Authorized Date	N/A

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2020-04-14-49-1	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated.
2020-04-14-49-2	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)	Thom Stinnett, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated.
2020-04-14-49-3	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated.
2020-04-14-49-4	AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated
2020-04-14-49-6	CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated
2020-04-14-49-7	AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated
2020-04-14-49-8	AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated.
2020-04-14-49-9	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory	05/13/2020	Kavon Rastegar	Yes	11/25/2020	JMF20-014. Test date estimated.

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-04-14-49-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2020-04-14-49-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-04-14-49-3 AASHTO T176-08 (Verified)
DIME Test ID: 2020-04-14-49-4 AASHTO T304-11 (Verified)
DIME Test ID: 2020-04-14-49-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2020-04-14-49-7 AASHTO T85-13 (Verified)
DIME Test ID: 2020-04-14-49-8 AASHTO T84-14 (Verified)
DIME Test ID: 2020-04-14-49-9 AASHTO T27-14 (Verified)