Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-04-01-6

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 210569
DEA: 083555V4
EFIS: 0814000086
DIST-CO-RTE-PM08-SBD-15-42.5/46.0
Award Date11/05/2015
Closeout DateNot set
Work DescriptionWIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING
QA Service Level1 (Verified on 10/15/2015)

Sample Information

Sample Taken Date04/01/2019 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/01/2019
Sample typeVerification A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID2019-04-01-5
The fabricator/manufacturer/facility nameRobertsons Lucern Quarry Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91360116
The fabricator's/manufacturer's product name for the sampleRobertsons Lucerne Quarry The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedWashed Concrete Sand
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-01-6-7CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanny FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-6-8CTM 217-June 2011: Method of Test for Sand EquivalentDanny FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-6-9CTM 229-June 2011: Method of Test for Durability IndexDanny FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-6-10CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanny FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-6-11CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanny FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-6-12CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory04/08/2019Nader Rashidi-Ghader
Yes
04/30/2019