Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-02-20-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212302
DEA: 080C70U4
EFIS: 0815000189
COOP: 081646
DIST-CO-RTE-PM08-SBD-210-PM R 25
Award DateNot set
Closeout DateNot set
Work DescriptionThe SR 210 Base Line Interchange project, in the City of Highland, includes widening of the Base Line overcrossing at the SR 210, along with additional ramp widening improvements for the northbound on-ramp, northbound off-ramp and southbound on-ramps.
Location DescriptionSR210 Lane Addition work proposes to improve SR 210 within the cities of Highland, Redlands, San Bernardino and unincorporated sections of San Bernardino County,
QA Service Level2 (Verified on 01/15/2020)

Sample Information

Sample Taken Date02/20/2020 Sample Unique Key19
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 testing02/18/2020
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes9 bags From where was the sample collectedSource
First name of sampler or witnessed byCHRIS Last name of sampler or witnessed byHINDMAN
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification9394 Linked DIME Sample ID2020-02-20-19
The fabricator/manufacturer/facility nameROBERTSON REDLANS - QUARRY Transportation Laboratory (TL) NumberC20-00002
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 collectedunknown
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
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
2020-02-20-19-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesEDMOUND JABBOURCT - Southern Regional Laboratory02/20/2020Jose Mendez
Yes
03/16/2020
2020-02-20-19-2CTM 217-June 2011: Method of Test for Sand EquivalentMICHEAL MAGANACT - Southern Regional Laboratory03/05/2020Jose Mendez
Yes
03/16/2020
2020-02-20-19-3CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateMICHEAL MAGANACT - Southern Regional Laboratory03/06/2020Jose Mendez
Yes
03/16/2020
2020-02-20-19-4CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNADER RASHIDICT - Southern Regional Laboratory03/09/2020Jose Mendez
Yes
03/16/2020
2020-02-20-19-5CTM 229-June 2011: Method of Test for Durability IndexHUSNI ANKIRCT - Southern Regional Laboratory03/10/2020Jose Mendez
Yes
03/16/2020