Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-03-11-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213647
DEA: 080N9724
EFIS: 0815000102
DIST-CO-RTE-PM08-SBD-395-35.5/39.1
Award Date12/03/2018
Closeout Date12/02/2019
Work DescriptionCONSTRUCT MEDIAN AND WIDENING SHOULDER
Location DescriptionSAN BERNARDINO COUNTY NEAR ADELANTO FROM 1.3 MILES SOUTH TO 2.3 MILES NORTH OF KRAMER ROAD
QA Service Level1 (Verified on 03/05/2019)

Sample Information

Sample Taken Date03/11/2019 Sample Unique Key17
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 testing03/11/2019
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes 2 bags From where was the sample collectedSource
First name of sampler or witnessed byStefan Last name of sampler or witnessed byReder
Title of sampler Telephone number of sampler
Laboratory sample identification8519 Linked DIME Sample ID2019-03-11-16
The fabricator/manufacturer/facility nameAgcon- Oro Grande 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)91-36-0046::AGCON, INC.
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 @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-11-17-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanny FerrerCT - Southern Regional Laboratory03/18/2019Nader Rashidi-Ghader
Yes
05/08/2019
2019-03-11-17-8CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanny FerrerCT - Southern Regional Laboratory03/19/2019Nader Rashidi-Ghader
Yes
05/08/2019
2019-03-11-17-11CTM 217-June 2011: Method of Test for Sand EquivalentDanny FerrerCT - Southern Regional Laboratory03/18/2019Nader Rashidi-Ghader
Yes
05/08/2019
2019-03-11-17-13CTM 229-June 2011: Method of Test for Durability IndexDanny FerrerCT - Southern Regional Laboratory03/18/2019Nader Rashidi-Ghader
Yes
05/08/2019
2019-03-11-17-15CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory03/19/2019Nader Rashidi-Ghader
Yes
05/08/2019