DIME - Sample Record for DIME Sample ID 2020-09-09-21

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Sample Record

Owner Lab

CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2020-09-09-21

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Project Information

Project Identifiers	Project ID: 214731 DEA: 051M0004 EFIS: 0519000047
DIST-CO-RTE-PM	05-SLO-101-16.5/R21.5
Award Date	04/22/2020
Closeout Date	08/23/2021
Work Description	COLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY.
Location Description	SAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE
QA Service Level	1 (Verified on 05/29/2020)

Sample Information

Sample Taken Date	09/09/2020	Sample Unique Key	21
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 testing	09/10/2020
Sample type	Acceptance	A brief description of the sample	Bags of Shoulder Backing
The quantity of what the sample constitutes	Not Given	From where was the sample collected	Job Site
First name of sampler or witnessed by	Gabe	Last name of sampler or witnessed by	Alvarez
Title of sampler	Consultant	Telephone number of sampler
Laboratory sample identification	D5 20-C-022	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Rocky Canyon	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-40-0013
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 collected	Job Site
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2020-09-09-21-1	CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles	Daniel Gingras, CT D05 - San Luis Obispo District Laboratory	09/11/2020	Daniel Gingras	Yes	09/14/2020
2020-09-09-21-2	CTM 212-May 2010: Method of Test for Unit Weight of Aggregate	Daniel Gingras, CT D05 - San Luis Obispo District Laboratory	09/14/2020	Daniel Gingras	Yes	09/14/2020
2020-09-09-21-3	CTM 217-June 2011: Method of Test for Sand Equivalent	Daniel Gingras, CT D05 - San Luis Obispo District Laboratory	09/14/2020	Daniel Gingras	Yes	09/14/2020
2020-09-09-21-4	CTM 229-June 2011: Method of Test for Durability Index	Daniel Gingras, CT D05 - San Luis Obispo District Laboratory	09/14/2020	Daniel Gingras	Yes	09/14/2020
2020-09-09-21-5	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Daniel Gingras, CT D05 - San Luis Obispo District Laboratory	09/14/2020	Daniel Gingras	Yes	09/14/2020

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2020-09-09-21-1 CTM 205-December 2010 (Verified)
DIME Test ID: 2020-09-09-21-2 CTM 212-May 2010 (Verified)
DIME Test ID: 2020-09-09-21-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-09-09-21-4 CTM 229-June 2011 (Verified)
DIME Test ID: 2020-09-09-21-5 CTM 202-November 2011 (Verified)