Sample Record

Owner Lab

  • Cemex - Central & Southern California

DIME Sample ID 2020-03-26-16

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 Date03/26/2020 Sample Unique Key16
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/26/2020
Sample typeAggregate Prequalification Program A brief description of the sample3/8" x #8 Concrete Aggregate
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byMyers
Title of samplerPuff Daddy Telephone number of sampler(800)555-1212
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Rockfield 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)91-10-0014::ROCKFIELD PLANT
The fabricator's/manufacturer's product name for the sample3/8 Pea Gravel The fabricator/manufacturer designation for the sample
The plant number4401 A detailed description of where the material sample was collectedPlant Stockpile
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-26-16-4CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesGregory VinsonCemex - Central & Southern California03/27/2020Gregory Vinson
Yes
03/27/2020
2020-03-26-16-5CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Gregory VinsonCemex - Central & Southern California03/27/2020Gregory Vinson
Yes
03/27/2020