DIME - Sample Record for DIME Sample ID 2019-09-17-24

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-09-17-24

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Project Information

Project Identifiers	Project ID: 214000 DEA: 073W8604 EFIS: 0717000117
DIST-CO-RTE-PM	07-LA-1-35.3/46.9
Award Date	05/01/2019
Closeout Date	06/05/2020
Work Description	APPLY SLURRY SEAL TO ROADWAY.
Location Description	LOS ANGELES COUNTY IN SANTA MONICA AND MALIBU FROM 0.3 MILE SOUTH OF PALISADE PEDESTRIAN OVERCROSSING TO MALIBU LAGOON BRIDGE
QA Service Level	1 (Verified on 07/26/2019)

Sample Information

Sample Taken Date	09/17/2019	Sample Unique Key	24
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	09/19/2019
Sample type	Per Request	A brief description of the sample	Type 3 Slurry Seal/Micro-surfacing
The quantity of what the sample constitutes	1 bag	From where was the sample collected	Source
First name of sampler or witnessed by	Kevin	Last name of sampler or witnessed by	Hopkins
Title of sampler	MREA	Telephone number of sampler
Laboratory sample identification	8719	Linked DIME Sample ID
The fabricator/manufacturer/facility name	United Rock-Irwindale	Transportation Laboratory (TL) Number	C914200
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

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	Stockpile at staging yard
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	3/8 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	Test Comments
2019-09-17-24-5	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Friday Ofoegbu, CT D08 - Fontana Southern Regional Laboratory	09/21/2019	Nader Rashidi-Ghader	Yes	10/09/2019
2019-09-17-24-6	CTM 217-June 2011: Method of Test for Sand Equivalent	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	09/26/2019	Nader Rashidi-Ghader	Yes	10/09/2019
2019-09-17-24-7	CTM 229-June 2011: Method of Test for Durability Index	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	09/26/2019	Nader Rashidi-Ghader	Yes	10/09/2019	Not enough sample to test Coarse Durability Index
2019-09-17-24-8	CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles	Satish Jain, CT D08 - Fontana Southern Regional Laboratory	09/26/2019	Nader Rashidi-Ghader	Yes	10/09/2019

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-09-17-24-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-09-17-24-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-09-17-24-7 CTM 229-June 2011 (Verified)
DIME Test ID: 2019-09-17-24-8 CTM 205-December 2010 (Verified)