DIME - Sample Record for DIME Sample ID 2019-03-29-16

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-03-29-16

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Project Information

Project Identifiers	Project ID: 209695 DEA: 08347704 EFIS: 0800000616
DIST-CO-RTE-PM	08-SBD-SR-58-0/12.9
Award Date	11/10/2017
Closeout Date	01/14/2021
Work Description	(Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description	SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
QA Service Level	1 (Verified on 12/01/2017)

Sample Information

Sample Taken Date	03/29/2019	Sample Unique Key	16
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 testing	03/29/2019
Sample type	Per Request	A brief description of the sample	Sggregate Subbase (LCB)
The quantity of what the sample constitutes	2 bags	From where was the sample collected	Job Site
First name of sampler or witnessed by	Shahidi	Last name of sampler or witnessed by	Shaine
Title of sampler	RE	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Contractor Kiewit	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier	Not set
Structure name	Not set

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	Unknown
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Jobsite
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2019-03-29-16-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Kiet Phan, CT D08 - Fontana Southern Regional Laboratory	04/03/2019	Nader Rashidi-Ghader	Yes	05/04/2019
2019-03-29-16-2	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	04/04/2019	Nader Rashidi-Ghader	Yes	05/04/2019
2019-03-29-16-5	CTM 217-June 2011: Method of Test for Sand Equivalent	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	04/03/2019	Nader Rashidi-Ghader	Yes	05/04/2019
2019-03-29-16-7	CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the Stabilometer	Tess Perez, CT D08 - Fontana Southern Regional Laboratory	04/04/2019	Nader Rashidi-Ghader	Yes	05/04/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-03-29-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-03-29-16-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-03-29-16-5 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-03-29-16-7 CTM 301-March 2000 (Verified)