Sample Record

Owner Lab

  • CT D04 - San Jose Construction Field Laboratory

DIME Sample ID 2024-06-27-103

Project Information

Project IdentifiersProject ID: 994366
DEA: 044J9104
EFIS: 0416000010
DIST-CO-RTE-PM04-SCL-87-0.0/6.1
Award Date04/19/2023
Closeout DateNot set
Work DescriptionCold plane AC, paving with RHMA, upgrade median CB and curb ramp.
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 85/87 SEPARATION TO 0.1 MILE NORTH OF JULIAN STREET UNDERCROSSING.
QA Service Level1 (Verified on 04/05/2023)

Sample Information

Sample Taken Date06/27/2024 Sample Unique Key103
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 testing06/28/2024
Sample typeQuality Assurance A brief description of the sample1/2 RHMA-G WMA
The quantity of what the sample constitutesOne Bag From where was the sample collectedSupplier
First name of sampler or witnessed byJoseph Last name of sampler or witnessed byPuno
Title of samplerQC Telephone number of sampler
Laboratory sample identificationSJ-062724-SA1 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Sunol Drier Drum Plant Transportation Laboratory (TL) NumberC317-062724-1
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)91-01-0011
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 collectedBelt Stream at the Plant
Where the material sample would have been placed if not sampledLot 1 Sublot 13, T27 - Sieve Anaylsis Test, 3/8". T176 - Sand Equivalent Test. Not in compliance. Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberL220175V Lot number1
Sublot number13 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-06-27-103-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Charles Poolis, CT D04 - San Jose Construction Field Laboratory06/28/2024Charles Poolis
Yes
08/07/2024Lot 1 – Sublot 13
2024-06-27-103-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Charles Poolis, CT D04 - San Jose Construction Field Laboratory06/28/2024Charles Poolis
Yes
08/07/2024Lot 1 – Sublot 13

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-06-27-103-1 AASHTO T27-14 (Verified)
DIME Test ID: 2024-06-27-103-2 AASHTO T176-08 (Verified)