Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2019-10-08-30

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date10/08/2019 Sample Unique Key30
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 testing11/13/2019
Sample typeAggregate Prequalification Program A brief description of the sampleWashed 1" X No. 4 Crushed Rock
The quantity of what the sample constitutes8 BAGS From where was the sample collectedFabricator
First name of sampler or witnessed byMANOLITO Last name of sampler or witnessed byLIMOS
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification8834 Linked DIME Sample ID2019-10-08-30
The fabricator/manufacturer/facility nameVULCAN FISH CANYON QUARRY Transportation Laboratory (TL) Number
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)91-19-0035::FISH CANYON QUARRY
The fabricator's/manufacturer's product name for the sampleWashed 1 X No. 4 Crushed Rock 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 Size1 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
2019-10-08-30-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesEDMOND JABBOURCT - Southern Regional Laboratory11/26/2019Jose Mendez
No
Info
2019-10-08-30-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateLARRY DIAZCT - Southern Regional Laboratory11/27/2019Jose Mendez
No
Info
2019-10-08-30-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineLARRY DIAZCT - Southern Regional Laboratory11/27/2019Jose Mendez
No
Info
2019-10-08-30-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateEDMOND JABBOURCT - Southern Regional Laboratory12/03/2019Jose Mendez
No
Info
2019-10-08-30-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)EDMOND JABBOURCT - Southern Regional Laboratory11/27/2019Jose Mendez
No
Info