DIME - Sample Record for DIME Sample ID 2019-10-31-4

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-10-31-4

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Project Information

Project Identifiers	Project ID: 213745 DEA: 080Q1204 EFIS: 0800020125
DIST-CO-RTE-PM	08-SBD-18-99.5-100.9
Award Date	02/19/2019
Closeout Date	03/24/2020
Work Description	WIDEN ROADBED AND CONSTRUCT RAISED CURB MEDIAN
Location Description	SAN BERNARDINO COUNTY FROM COBALT ROAD TO ROUTE 395
QA Service Level	1 (Verified on 04/02/2019)

Sample Information

Sample Taken Date	10/31/2019	Sample Unique Key	4
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	11/01/2019
Sample type	Verification	A brief description of the sample	3/8 HMA-A-SP R15
The quantity of what the sample constitutes	PSUE 7 Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Blue Diamond Materials Victorville	Last name of sampler or witnessed by	QC
Title of sampler		Telephone number of sampler
Laboratory sample identification	0671A-19	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Agcon-Oro Grande, Cemex-White Mountain	Transportation Laboratory (TL) Number
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)	91-36-0046, 91-36-0106
The fabricator's/manufacturer's product name for the sample	3/8 HMA-A-SP R15	The fabricator/manufacturer designation for the sample	300153-WM
The plant number	Unknown	A detailed description of where the material sample was collected	Belt Cut at Blue Diamond Victorville Plant
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
2019-10-31-4-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Juan Le Roy, CT D08 - Fontana Southern Regional Laboratory	11/04/2019	Michael Magana	Yes	05/07/2020	Virgin Aggregate Gradation
2019-10-31-4-2	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory	11/13/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-3	AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)	Juan Le Roy, CT D08 - Fontana Southern Regional Laboratory	11/04/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-4	AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)	Nader Rashidi, CT D08 - Fontana Southern Regional Laboratory	11/09/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-5	AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)	Michael Magana, CT D08 - Fontana Southern Regional Laboratory	11/19/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-6	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	Juan Le Roy, CT D08 - Fontana Southern Regional Laboratory	11/04/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-7	ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)	Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory	11/13/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-8	AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)	Danilo Ferrer, CT D08 - Fontana Southern Regional Laboratory	11/13/2019	Michael Magana	Yes	05/07/2020
2019-10-31-4-9	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Juan Le Roy, CT D08 - Fontana Southern Regional Laboratory	11/04/2019	Michael Magana	Yes	05/07/2020	RAP Gradation After Ignition Oven
2019-10-31-4-10	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Juan Le Roy, CT D08 - Fontana Southern Regional Laboratory	11/04/2019	Michael Magana	Yes	05/07/2020	Combined Virgin Aggregate/RAP Gradation w/Correlation Factors Applied

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-10-31-4-1 AASHTO T27-14 (Verified)
DIME Test ID: 2019-10-31-4-2 AASHTO T335-09r13 (Verified)
DIME Test ID: 2019-10-31-4-3 AASHTO T85-13 (Verified)
DIME Test ID: 2019-10-31-4-4 AASHTO T84-14 (Verified)
DIME Test ID: 2019-10-31-4-5 AASHTO T96-02r10 (Verified)
DIME Test ID: 2019-10-31-4-6 AASHTO T176-08 (Verified)
DIME Test ID: 2019-10-31-4-7 ASTM D4791-10 (Verified)
DIME Test ID: 2019-10-31-4-8 AASHTO T304-11 (Verified)
DIME Test ID: 2019-10-31-4-9 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-10-31-4-10 CTM 202-November 2011 (Verified)