Sample Record for 2021-08-20-40
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215587 DEA: 081L6804 EFIS: 0820000138
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-91,15-7.5/13.4,8.2/23.9
Work Description: SLAB REPLACEMENT, PLACE SLURRY SEAL AND REPLACE AC SURFACING.
Location Description: RIVERSIDE COUNTY IN AND NEAR CORONA AND MURRIETA ON ROUTE 91 FROM ROUTE 15/91 SEPARATION TO 0.4 MILE EAST OF TYLER STREET AND ON ROUTE 15 FROM 1.5 MILES NORTH OF WINCHESTER ROAD TO NICHOLS ROAD
Contractor Name: RV Concrete
Contractor Address: 605 E Commercial Street, Anaheim, CA 92801
Resident Engineer: Denise Sostrom Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2021-08-20-40
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: 08/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/09/2021
The quantity of what the sample constitutes: 4 Bags of Combined Aggregate, 4 Bags of RAP
A brief description of the sample: JMF 3/4" WMA-A-SP R15, 0.4% Evotherm
From where was the sample collected: Manufacturer
Laboratory sample identification: 0522A-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: 3/4 WMA-A-SP R15
The fabricator/manufacturer designation for the sample:
The plant number: 103793
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: 3/4 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 |
| 2021-08-20-40-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-2 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-3 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-4 | 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) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-5 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-6 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-7 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-8 | 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) | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-9 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
| 2021-08-20-40-10 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 09/09/2021 | Not scheduled | Michael Magana | CT D08 - Fontana Southern Regional Laboratory | | |
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