Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-04-01-7

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 Key7
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 testing04/02/2019
Sample typeVerification A brief description of the sample1.5" PCC Gravel
The quantity of what the sample constitutes10 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 nameRobertson Lucerne 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 sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1-1/2 inch
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
2019-04-01-7-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSebastian FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-7-7CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineDanny FerrerCT - Southern Regional Laboratory04/08/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-7-8CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateSebastian FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-7-9CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNader Rashidi-GhaderCT - Southern Regional Laboratory04/20/2019Nader Rashidi-Ghader
Yes
04/30/2019
2019-04-01-7-10CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Danny FerrerCT - Southern Regional Laboratory04/05/2019Nader Rashidi-Ghader
Yes
04/30/2019