Sample Record

Owner Lab

  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2020-07-31-14

Project Information

Project IdentifiersProject ID: 214901
DEA: 044Q3304
EFIS: 0419000378
DIST-CO-RTE-PM04-CC-24-R0.4/1.0
Award Date06/12/2020
Closeout Date04/12/2021
Work DescriptionCOLD PLANE PAVEMENT AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT.
Location DescriptionCONTRA COSTA COUNTY FROM FISH RANCH ROAD TO 0.2 MILE WEST OF GATEWAY BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date07/31/2020 Sample Unique Key14
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 testing12/31/2019
Sample typeVerification A brief description of the sampleMix Aggregates to use in 1/2" RHMA-O-WMA
The quantity of what the sample constitutes18 Bags (Shipped in 3 group of 6) From where was the sample collectedFabricator
First name of sampler or witnessed byLisa Last name of sampler or witnessed byNordine
Title of samplerQC Lab Tech Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDSG Sunol Plant 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, name of Pit or Job Site)91-01-0007
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 collectedSample collected from DSG Sonul
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2020-190 Date Created08/19/2020
JMF Submittal IDJMF3511-318-2020-274 JMF StatusSubmittal Accepted for Verification
Producer Mix IDMD6653 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-31-14-1AASHTO 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 Shelly, CT D04 - Hayward DME / District Laboratory08/05/2020Babak Kamranimoghaddam
Yes
08/19/2020
2020-07-31-14-2ASTM 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 Shelly, CT D04 - Hayward DME / District Laboratory08/05/2020Babak Kamranimoghaddam
Yes
08/19/2020
2020-07-31-14-3AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Reza Dineli, CT D04 - Hayward DME / District Laboratory08/05/2020Babak Kamranimoghaddam
Yes
08/19/2020
2020-07-31-14-4CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNicholas Shelly, CT D04 - Hayward DME / District Laboratory08/05/2020Babak Kamranimoghaddam
Yes
08/19/2020
2020-07-31-14-5CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateNicholas Shelly, CT D04 - Hayward DME / District Laboratory08/05/2020Babak Kamranimoghaddam
Yes
08/19/2020
2020-07-31-14-6AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Reza Dineli, CT D04 - Hayward DME / District Laboratory08/06/2020Gustavo Orozco
Yes
08/19/2020

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2020-07-31-14-1 AASHTO T96-02r10 (Verified)
DIME Test ID: 2020-07-31-14-2 ASTM D4791-10 (Verified)
DIME Test ID: 2020-07-31-14-3 AASHTO T27-14 (Verified)
DIME Test ID: 2020-07-31-14-4 CTM 207-March 2012 (Verified)
DIME Test ID: 2020-07-31-14-5 CTM 206-October 2011 (Verified)
DIME Test ID: 2020-07-31-14-6 AASHTO T335-09r13 (Verified)