Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-02-20-23

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 Key23
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 testing03/17/2020
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 bags From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of samplerQC Rep Telephone number of sampler
Laboratory sample identification9394B Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Redlands Transportation Laboratory (TL) NumberC-20-0003-B
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)91-36-0072
The fabricator's/manufacturer's product name for the sampleRobertsons Redlands 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 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
2020-02-20-23-7CTM 229-June 2011: Method of Test for Durability IndexNader Rashidi-GhaderCT - Southern Regional Laboratory03/23/2020Nader Rashidi-Ghader
No
Info