Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2013-12-19-7583960

Project Information

Project IdentifiersProject ID: 208869
DEA: 08368504
EFIS: 0800000628
DIST-CO-RTE-PM08-SBD-15-177.3/181.1
Award Date07/25/2013
Closeout DateNot set
Work DescriptionCONSTRUCT COMMERCIAL VEHICLE ENFORCEMENT FACILITY (CVEF)
Location DescriptionSAN BERNARDINO COUNTY FROM 1.2 MILES NORTH OF NIPTON ROAD OVERCROSSING TO 0.5 MILE SOUTH OF YATES WELL ROAD OVERCROSSING
QA Service Level1 (Verified on 10/08/2013)

Sample Information

Sample Taken Date12/19/2013 Sample Unique Key7583960
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 testing12/30/2013
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base
The quantity of what the sample constitutes2 Bags From where was the sample collectedOther
First name of sampler or witnessed byLarry Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification3361B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameI-15 SB Shoulder Sta. 9387 40 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedI-15 SB Shoulder Sta. 9387 40
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2013-12-19-7583960-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent OnohCT - Southern Regional Laboratory01/02/2014Vincent Onoh
Yes
02/20/2015 
2013-12-19-7583960-2CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory01/03/2014Nemencio Daof
Yes
02/20/2015 
2013-12-19-7583960-3CTM 229-June 2011: Method of Test for Durability IndexNader RashidiCT - Southern Regional Laboratory01/03/2014Nader Rashidi
Yes
02/20/2015 
2013-12-19-7583960-4CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory01/08/2014Vincent Onoh
Yes
02/20/2015