Sample Record

Owner Labs

  • Teichert Materials - Sacramento
  • CT D04 - DME / District Lab

DIME Sample ID 2020-07-23-33

Project Information

Project IdentifiersProject ID: 214805
DEA: 044Q1604
EFIS: 0419000353
DIST-CO-RTE-PM04-CC-4-R32.7/R34.0
Award Date05/04/2020
Closeout Date09/25/2020
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT.
Location DescriptionCONTRA COSTA COUNTY IN ANTIOCH AND BRENTWOOD FROM 0.2 MILE WEST OF LONE TREE WAY UNDERCROSSING TO SAND CREEK BRIDGE
QA Service Level1 (Verified on 05/19/2020)

Sample Information

Sample Taken Date07/23/2020 Sample Unique Key33
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 sample3/4" RWMA-G Aggregate
The quantity of what the sample constitutes2 bags of aggregate From where was the sample collectedSource
First name of sampler or witnessed byCTInspectorIArechiga Last name of sampler or witnessed byCTInspectorIArechiga
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Vernails 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)91-39-0041
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 collectedAutomatic Sampling Device @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2020-179

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-23-33-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Reza DeneliCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-2AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Nicholas ShellyCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-3AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Nicholas ShellyCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-4AASHTO 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)Nicholas ShellyCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-5AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Reza DeneliCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-6AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Nicholas ShellyCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-7AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Reza DeneliCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020
2020-07-23-33-8ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Nicholas ShellyCT D04 - DME / District Lab07/29/2020Gustavo Orozco
Yes
08/05/2020