Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-12-03-8

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214397
DEA: 120N3204
EFIS: 1213000196
DIST-CO-RTE-PM12-ORA-91-R9.8/R18.9
Award Date11/07/2019
Closeout DateNot set
Work DescriptionCONST PRECAST SLAB REPLACEMENT, COLD PLANE AC PVMT AND PLACE RHMA.
Location DescriptionORANGE COUNTY IN ANAHEIM AND YORBA LINDA FROM 0.3 MILE WEST OF LAKEVIEW AVENUE OVERCROSSING TO RIVERSIDE COUNTY LINE
QA Service Level1 (Verified on 12/02/2019)

Sample Information

Sample Taken Date12/03/2020 Sample Unique Key8
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 testing12/07/2020
Sample typeVerification A brief description of the sampleJMF 3/4" WMA-A-SP R25 0.25% LAS
The quantity of what the sample constitutes4 Bags Coldfeed Agg., 1 Bag Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byRJ Noble Orange Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0686A-20 Linked DIME Sample ID
The fabricator/manufacturer/facility nameR J Noble Orange 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)91-33-0035
The fabricator's/manufacturer's product name for the sample3/4 WMA-A-SP R25 The fabricator/manufacturer designation for the sample
The plant number36R2508SPWEO A detailed description of where the material sample was collectedBelt Cut at RJ Noble Orange Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-12-03-8-11CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish Jain/Juan LeRoyCT - Southern Regional Laboratory12/10/2020Michael Magana
Yes
01/20/2021Combined Aggregate Gradation W/Rap Gradation Correlation Factors