Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2024-04-30-51
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Project Information
| Project Identifiers | Project ID: 994600 DEA: 081N1704 EFIS: 0822000107 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R108.0/R115.0 |
| Award Date | 05/19/2023 |
| Closeout Date | Not set |
| Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION & COLD PLANE AC PAVEMENT. |
| Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.6 MILE NORTH OF CLYDE V. KANE REST AREA TO 0.3 MILE SOUTH OF BIRD DITCH BRIDGE |
| QA Service Level | 1 (Verified on 07/19/2023) |
Sample Information
| Sample Taken Date | 04/30/2024 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 05/01/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 1x 4 PCC Aggregates |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Francisco | Last name of sampler or witnessed by | Ruvalcaba |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Blue Diamond Victorville | 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) | 91-36-0022 |
|---|---|---|---|
| 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 | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 300072-LSM | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-30-51-1 AASHTO T27-14 (Verified)
DIME Test ID: 2024-04-30-51-2 AASHTO T255-0 (Verified)