Sample Record for 2022-04-27-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993271 DEA: 11430604 EFIS: 1119000026
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8,805-5.6/17.4
Work Description: INSTALL HIGH FRICTION SURFACE TREATMENT
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN SAN DIEGO COUNTY IN SAN DIEGO ON ROUTE 8 AT ROUTE 15/8 SEPARATION AND ON ROUTE 805 AT NORTHBOUND 805 TO EASTBOUND 8 CONNECTOR
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 10529 Vine Street, Lakeside, CA, 92040
Resident Engineer: Genaro Genel-Trujillo Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2022-04-27-10
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: 04/27/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2022
The quantity of what the sample constitutes: 12 boxes, 2 bags, 3 cans
A brief description of the sample: 3/4" RHMA-G
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Otay
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-37-0035
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: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 5
DIME Test ID: 2022-04-27-10-2
Test Method: AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)
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 5
DIME Test ID: 2022-04-27-10-4
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 3 of 5
DIME Test ID: 2022-04-27-10-5
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.
Test 4 of 5
DIME Test ID: 2022-04-27-10-6
Test Method: AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse 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.
Test 5 of 5
DIME Test ID: 2022-04-27-10-7
Test Method: 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)
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 |
| 2022-04-27-10-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 04/28/2022 | 05/02/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-27-10-3 | 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) | 04/28/2022 | 05/02/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
| 2022-04-27-10-8 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 04/28/2022 | 05/04/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Mohammad Abbassi |
563465634856353
