Sample Record for 2021-08-12-39
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Project Information
Project ID: 215224 DEA: 080F5444 EFIS: 0818000209 COOP: 081714
QA Service Level: 2
DIST-CO-RTE-PM: 08-RIV-91-17.4/18.9
Work Description: Operational and safety improvements by constructing a portion of the Ultimate SR?91 CIP Project on WB SR?91 from Green River Road to SR?241 to alleviate traffic congestion in this area (ORA Post Mile R17.4 to R18.9, RIV Post Mile R0.0 to R0.6).
Location Description: The 91 COP consists of the following project components: adding a general purpose (GP) lane approximately 2 miles in length in the WB direction on SR?91 from Green River Road to SR?241.
Contractor Name: OHL USA
Contractor Address: 1920 Main Street, Suite 310, Irvine, California 92614
Resident Engineer: Denise Sostrum Structure Rep.: Luis Negrete
Sample Information
DIME Sample ID: 2021-08-12-39
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 08/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/30/2021
The quantity of what the sample constitutes: 4 Bags of Combined Agg., 2 Bags Of Rap
A brief description of the sample: JMF 3/8" HMA-A-SP R15
From where was the sample collected: Manufacturer
Laboratory sample identification: 0507A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: All American Asphalt Corona
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0005
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number: 106926
A detailed description of where the material sample was collected: Belt Cut at All American Corona Plant
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2021-08-12-39-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-2 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-3 | 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) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-4 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-5 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-6 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-7 | 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) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-8 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-9 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-12-39-10 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 08/31/2021 | Not scheduled | Satish Jain | CT D08 - Fontana Southern Regional Laboratory | | |
46949469504695146952469534695446955469564695746958
