Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - DME / District Lab

DIME Sample ID 2020-08-04-5

Project Information

Project IdentifiersProject ID: 214059
DEA: 042K7504
EFIS: 0417000019
DIST-CO-RTE-PM04-SCL-152-7.6/M10.2
Award Date05/24/2019
Closeout Date04/12/2021
Work DescriptionROADWAY REHAB, CURB RAMPS, SIGNALS, AND STRIPING UPGRADES.
Location DescriptionSANTA CLARA COUNTY IN GILROY FROM 0.3 MILE WEST OF SANTA TERESA BOULEVARD TO ROUTE 101
QA Service Level1 (Verified on 06/04/2019)

Sample Information

Sample Taken Date08/04/2020 Sample Unique Key5
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeVerification A brief description of the sample3/8" Aggregate
The quantity of what the sample constitutes16 bags From where was the sample collectedSource
First name of sampler or witnessed byPShah Last name of sampler or witnessed byPShah
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construciton Los Banos 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)91-24-0009
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 collectedLos Banos Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2020-176

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-08-04-5-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Nicholas ShellyCT D04 - DME / District Lab07/08/2020Gustavo Orozco
No
Info
2020-08-04-5-2AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Nichols ShellyCT D04 - DME / District Lab07/08/2020Gustavo Orozco
No
Info