Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-05-30-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213551
DEA: 080K2934
EFIS: 0812000100
DIST-CO-RTE-PM08-SBD-10-R36.8/R39.2
Award Date11/09/2018
Closeout Date09/15/2021
Work DescriptionPAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date05/30/2019 Sample Unique Key10
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 testing05/30/2019
Sample typePer Request A brief description of the sampleClass 2 Agg Base
The quantity of what the sample constitutes4 Bags From where was the sample collectedJob Site
First name of sampler or witnessed byEzz Last name of sampler or witnessed byGayed
Title of samplerResident Engineer Telephone number of sampler(909) 825-2753
Laboratory sample identification8602 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCaltrans Transportation Laboratory (TL) NumberC 010076
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
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 collectedI-10 Median
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
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
2019-05-30-10-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanny FerrerCT - Southern Regional Laboratory05/30/2019Nader Rashidi-Ghader
Yes
07/03/2019