Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-03-20-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout DateNot set
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date03/20/2020 Sample Unique Key18
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 testing03/23/2020
Sample typeAcceptance A brief description of the sample3/4-inch Type A Aggregate (Untreated, Virgin)
The quantity of what the sample constitutes50000 ton From where was the sample collectedSource
First name of sampler or witnessed byKaren Last name of sampler or witnessed bySpliethof
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78364F Linked DIME Sample ID
The fabricator/manufacturer/facility nameFawndale Rock Quarry Transportation Laboratory (TL) Number897552
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)91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sample19-1001.314 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedLab-Batched from Sized Untreated Aggregate Stockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 19-01-XXX1 Lot numberUnknown
Sublot numberUnknown HMA Design ID JMF3513-2020-105

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-20-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)D. Hickey and K. SpliethofCT D02 - North Region Materials Lab03/25/2020Ward Jenkins
Yes
04/21/2020
2020-03-20-18-2AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Colt SweenyCT D02 - North Region Materials Lab04/15/2020Ward Jenkins
Yes
04/21/2020
2020-03-20-18-3AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)Ward JenkinsCT D02 - North Region Materials Lab04/15/2020Ward Jenkins
Yes
04/21/2020
2020-03-20-18-4AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Colt SweenyCT D02 - North Region Materials Lab04/15/2020Ward Jenkins
Yes
04/21/2020
2020-03-20-18-5AASHTO T210-15: Standard Method of Test for Aggregate Durability Index (Durability Index)Darrell ValasekCT D02 - North Region Materials Lab04/15/2020Ward Jenkins
Yes
04/21/2020
2020-03-20-18-6AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Dennis HickeyCT D02 - North Region Materials Lab04/16/2020Ward Jenkins
Yes
04/21/2020
2020-03-20-18-7ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Dennis HickeyCT D02 - North Region Materials Lab04/16/2020Ward Jenkins
Yes
04/21/2020