DIME - Sample Record for DIME Sample ID 2020-02-12-29

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Sample Record

Owner Lab

CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-02-12-29

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Project Information

Project Identifiers	Project ID: 214221 DEA: 081F1424 EFIS: 0815000232
DIST-CO-RTE-PM	08-RIV-15-23.9/33.4
Award Date	09/05/2019
Closeout Date	03/01/2022
Work Description	REPLACE INDIVIDUAL PCC SLABS, GRIND PCC PAVEMENT AND UPGRADE GUARDRAIL
Location Description	RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM NICHOLS ROAD OVERCROSSING TO 0.2 MILE NORTH OF TEMESCAL CANYON ROAD UNDERCROSSING
QA Service Level	1 (Verified on 12/04/2019)

Sample Information

Sample Taken Date	02/12/2020	Sample Unique Key	29
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	02/13/2020
Sample type	Aggregate Prequalification Program	A brief description of the sample	3/8" PCC AGGREGATE
The quantity of what the sample constitutes	8 BAGS	From where was the sample collected	Source
First name of sampler or witnessed by	MILAD	Last name of sampler or witnessed by	WARDE
Title of sampler		Telephone number of sampler	951-232-7608
Laboratory sample identification	9370	Linked DIME Sample ID	2020-02-12-29
The fabricator/manufacturer/facility name	PACIFIC AGGREGATE LAKE ELSINOR	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)	91-33-0073: PACIFIC AGGREGATE
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 @ 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
2020-02-12-29-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	HUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory	02/19/2020	Jose Mendez	Yes	03/16/2020
2020-02-12-29-2	CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse Aggregate	LARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory	02/21/2020	Jose Mendez	Yes	03/16/2020
2020-02-12-29-3	CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine	Jose Mendez, CT D08 - Fontana Southern Regional Laboratory	02/22/2020	Jose Mendez	Yes	03/16/2020
2020-02-12-29-4	CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium Sulfate	NADER RASHIDI, CT D08 - Fontana Southern Regional Laboratory	03/04/2020	Jose Mendez	Yes	03/16/2020
2020-02-12-29-5	CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)	HUSNI ANKIR, CT D08 - Fontana Southern Regional Laboratory	02/24/2020	Jose Mendez	Yes	03/16/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-02-12-29-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-02-12-29-2 CTM 206-October 2011 (Verified)
DIME Test ID: 2020-02-12-29-3 CTM 211-May 2010 (Verified)
DIME Test ID: 2020-02-12-29-4 CTM 214-August 2010 (Verified)
DIME Test ID: 2020-02-12-29-5 CTM 227-December 2014 (Verified)