Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-05-31-10

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 213970
DEA: 080K1214
EFIS: 0815000245
DIST-CO-RTE-PM08-SBD-15-12.5/14.8
Award Date12/23/2019
Closeout DateNot set
Work DescriptionREPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT.
Location DescriptionSAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING
QA Service Level1 (Verified on 12/12/2019)

Sample Information

Sample Taken Date05/31/2020 Sample Unique Key10
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 testing06/02/2020
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 byChris Last name of sampler or witnessed byHindman
Title of samplerQC Technician Telephone number of sampler951-236-2183
Laboratory sample identification1153 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons-Rialto Transportation Laboratory (TL) Number1153
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)91-36-0146
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 collectedRobertson Rialto
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
2020-05-31-10-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish JainCT - Southern Regional Laboratory06/17/2020Nader Rashidi-Ghader
Yes
06/29/2020
2020-05-31-10-7CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateDanilo FerrerCT - Southern Regional Laboratory06/16/2020Nader Rashidi-Ghader
Yes
06/29/2020S.G.(SSD)=2.62
2020-05-31-10-8CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory06/17/2020Nader Rashidi-Ghader
Yes
06/29/2020
2020-05-31-10-9CTM 217-June 2011: Method of Test for Sand EquivalentDominic MontemayorCT - Southern Regional Laboratory06/17/2020Nader Rashidi-Ghader
Yes
06/29/2020Solution Temperature=22.2 C
2020-05-31-10-10CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory06/18/2020Nader Rashidi-Ghader
Yes
06/29/2020

Test Card Drafts

Material TypeTest MethodSaved ByDate SavedActions
No drafts of tests saved for your Sample.