Sample Record for 2022-07-25-16
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215257 DEA: 11056374 EFIS: 1117000087
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11-0.6/2.7
Work Description: CONSTRUCT INTERCHANGE, PLACE JPCP, HMA, AND INSTALL LIGHTING.
Location Description: SAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 1.2 MILE EAST OF ENRICO FERMI DRIVE OVERCROSSING
Contractor Name: SKANSKA USA CIVIL WEST CALIFORNIA DISTRICT INC.
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Victor Cardenas Structure Rep.: Wade Durant
Sample Information
DIME Sample ID: 2022-07-25-16
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: 07/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/26/2022
The quantity of what the sample constitutes: 8 boxes, 3 bags
A brief description of the sample: 3/4" HMA PSU
From where was the sample collected: Supplier
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: 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
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2022-07-25-16-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-2 | AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-3 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-4 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-5 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-6 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-7 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-8 | 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) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-9 | 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) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-07-25-16-10 | CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index) | 07/26/2022 | 07/29/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
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