Sample Record for 2022-04-04-15
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211848 DEA: 112T2174 EFIS: 1116000131
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R37.4 - R46.5
Work Description: (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location Description: IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: Steve McMillan Structure Rep.: Phong Le
Sample Information
DIME Sample ID: 2022-04-04-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 688-1570
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/04/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/05/2022
The quantity of what the sample constitutes: 8 boxes, 3 bags
A brief description of the sample: 1/2" HMA PSU
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CCA Lakeside
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-37-0036
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: Batch Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 2
DIME Test ID: 2022-04-04-15-2
Test Method: AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
Data has not been verified.
Test 2 of 2
DIME Test ID: 2022-04-04-15-6
Test Method: AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: dave.m.cortez@dot.ca.gov
Organization Phone: (858) 688-1570
Data has not been verified.
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2022-04-04-15-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-04-15-3 | CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-04-15-4 | AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | Split out 4 1500g min samples | Mohammad Abbassi |
| 2022-04-04-15-5 | 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) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-04-15-7 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-04-15-8 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-04-15-9 | 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) | 04/07/2022 | Not scheduled | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-04-15-10 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 04/07/2022 | 04/08/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
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