Sample Record for 2022-08-04-28
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215591 DEA: 112N0724 EFIS: 1119000164
QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-111-R0.1/R1.2
Work Description: COLD PLANE, PLACE STRESS ABSORBING MEMBRANE INTERLAYER AND RHMA.
Location Description: IMPERIAL COUNTY IN CALEXICO FROM 0.1 MILE NORTH OF MEXICO BORDER TO ROUTE 98.
Contractor Name: PAL General Engineering
Contractor Address: 2365 Paseo DeLasAmericas#104-1461, San Diego, CA 92154
Resident Engineer: Benjamin Haney Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2022-08-04-28
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: 08/04/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/05/2022
The quantity of what the sample constitutes: 16 boxes, 18 bags
A brief description of the sample: 1.5" HMA-A
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: API Gateway
Material Information
Source Identification (SMARA, name of Pit or Job Site): not provided
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: At the plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 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 |
| 2022-08-04-28-1 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-2 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-3 | 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) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-4 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-5 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-6 | CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-7 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-8 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-9 | 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) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
| 2022-08-04-28-10 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | 08/08/2022 | 08/12/2022 | Melchor Oronoz | CT D11 - District 11 Materials Laboratory | | Shawn Lynn |
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