Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-10-28-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213568
DEA: 034H6904
EFIS: 03190000026
DIST-CO-RTE-PM03-SAC,SAC/SOL-12-0-0.4/ 26.3-26.4, 0.0-0.4/26.3-26.4
Award DateNot set
Closeout DateNot set
Work DescriptionMajor Damage Restoration (Emergency Opening)
Location DescriptionNot set
QA Service Level1 (Verified on 08/24/2018)

Sample Information

Sample Taken Date10/28/2020 Sample Unique Key12
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 testing10/29/2020
Sample typeQuality Assurance A brief description of the sampleTrinity Lightweight
The quantity of what the sample constitutes1-5 gallon bucket From where was the sample collectedJob Site
First name of sampler or witnessed bynot available Last name of sampler or witnessed bynot available
Title of sampler Telephone number of sampler
Laboratory sample identification20-PCCF-0218 Linked DIME Sample ID
The fabricator/manufacturer/facility namena Transportation Laboratory (TL) Numberna
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)na
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 collectedat job site
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-28-12-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Jay HortonCT HQ - Sacramento Aggregate Testing Laboratory11/02/2020Bang Nguyen
2020-10-28-12-2AASHTO T104-99r16: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Ryan KesterCT HQ - Sacramento Aggregate Testing Laboratory11/20/2020Bang Nguyen
11/20/2020gradation: 4=100%, 8=84%,16=48%, 30=23%, 50=10% (percent passing).
2020-10-28-12-3CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateRK/JHCT HQ - Sacramento Aggregate Testing Laboratory12/07/2020Bang Nguyen
12/07/2020Excluded result on #100 sieve: Material loss during submerge and remove from solution.