Sample Record

Owner Lab

  • CT D08 - Hesperia Field Testing Laboratory

DIME Sample ID 2020-10-09-29

Project Information

Project IdentifiersProject ID: 214774
DEA: 081F1324
EFIS: 0815000212
DIST-CO-RTE-PM08-SBD-95-64.5/80.5
Award Date05/04/2020
Closeout Date01/18/2022
Work DescriptionPLACE RHMA-G, COLD PLANE AC AND REPLACE AC SURFACING.
Location DescriptionSAN BERNARDINO COUNTY ON ROUTE 95 FROM 0.5 MILE NORTH OF GOFFS ROAD TO NEVADA STATE LINE.
QA Service Level1 (Verified on 08/25/2020)

Sample Information

Sample Taken Date10/09/2020 Sample Unique Key29
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 testing10/09/2020
Sample typeAcceptance A brief description of the sampleMixed aggregates
The quantity of what the sample constitutes2 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byRamy Last name of sampler or witnessed byMekail
Title of sampler Telephone number of sampler9512324493
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Bullhead City Arizona 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)Vulcan
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 collectedConveyor Belt
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 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-09-29-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRamy MekailCT D08 - Hesperia Field Testing Laboratory10/10/2020Ramy Mekail
No
Info
2020-10-09-29-2CTM 217-June 2011: Method of Test for Sand EquivalentRamy MekailCT D08 - Hesperia Field Testing Laboratory10/10/2020Ramy Mekail
No
Info