Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2020-07-17-35

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214466
DEA: 081F1414
EFIS: 0815000231
DIST-CO-RTE-PM08-RIV-15-15-54.2/54.3
Award Date01/02/2020
Closeout Date05/26/2022
Work DescriptionSlab & lane replacement with JPCP & precast conc pavement, place HMA.
Location DescriptionRiverside and San Diego County
QA Service Level1 (Verified on 03/20/2020)

Sample Information

Sample Taken Date07/17/2020 Sample Unique Key35
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 testing07/21/2020
Sample typeQuality Assurance A brief description of the sampleHMA-A 3/8" R15
The quantity of what the sample constitutes1 bag combined aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identificationSample 2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCCA-Lake Elsinore 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)91-33-0098
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedbelt an chute
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number53891193 Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-17-35-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Anh NguyenCT D08 - Fontana Field Testing Laboratory07/22/2020MD Sarder
Yes
07/30/2020
2020-07-17-35-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Anh NguyenCT D08 - Fontana Field Testing Laboratory07/22/2020MD Sarder
Yes
07/30/2020