Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2022-06-23-81

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993535
DEA: 081M1104
EFIS: 0821000078
DIST-CO-RTE-PM08-SBD-215-10.0/17.2
Award Date03/14/2022
Closeout Date12/05/2022
Work DescriptionHMA, COLD PLANE AC PAVEMENT, AND TRAFFIC STRIPE TAPE.
Location DescriptionSAN BERNARDINO COUNTY?FROM 0.1 MILE NORTH OF 27TH STREET TO 0.1 MILE SOUTH OF DEVORE ROAD
QA Service Level1 (Verified on 02/21/2022)

Sample Information

Sample Taken Date06/23/2022 Sample Unique Key81
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 testing06/24/2022
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA-A-SP-R23 0.5% LAS
The quantity of what the sample constitutes1 Bag of Combined Aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan-San Bernardino Portable Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0137, 91-19-0035
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number223506 A detailed description of where the material sample was collectedBelt Cut at Vulcan AC Drum Plant San Bernardino
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-23-81-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Chizitere Ozuruigbo, CT D08 - Fontana Field Testing Laboratory06/24/2022Maryanna Landaverde
Yes
09/27/2022
2022-06-23-81-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Chizitere Ozuruigbo, CT D08 - Fontana Field Testing Laboratory06/24/2022Maryanna Landaverde
Yes
09/27/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-06-23-81-1 AASHTO T27-14 (Verified)
DIME Test ID: 2022-06-23-81-2 AASHTO T176-08 (Verified)