Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-10-14-13302422

Project Information

Project IdentifiersProject ID: 208862
DEA: 080K7104
EFIS: 0800000366
DIST-CO-RTE-PM08-SBD-15,215-14.0/R16.4,16.0/17.8
Award Date11/13/2012
Closeout Date02/13/2017
Work DescriptionI-15/I-215 Interchange Improvements (Devore)
Location DescriptionOn I-15 from 0.8 mile south of Glen Helen Parkway UC to 1.4 mile north of Kenwood Ave UC And On I-215 from 1.2 mile south of Devore Road OC to the I-15 junction
QA Service Level1 (Verified on 06/10/2013)

Sample Information

Sample Taken Date10/14/2013 Sample Unique Key13302422
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 testing10/11/2013
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameHolliday Upland Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91-36-0003
The fabricator's/manufacturer's product name for the sampleWashed Concrete Sand The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-10-14-13302422-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish JainCT - Southern Regional Laboratory10/14/2013Satish Jain
Yes
02/20/2015 
2013-10-14-13302422-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory10/14/2013Nemencio Daof
Yes
02/20/2015 
2013-10-14-13302422-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory10/14/2013Satish Jain
Yes
02/20/2015 
2013-10-14-13302422-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory11/15/2013Nemencio Daof
Yes
02/20/2015 
2013-10-14-13302422-5CTM 229-June 2011: Method of Test for Durability IndexFarzin FarahCT - Southern Regional Laboratory10/14/2013Farzin Farah
Yes
02/20/2015 

Test Card Drafts

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