DIME - Sample Record for DIME Sample ID 2019-05-13-16

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Sample Record

Owner Lab

CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2019-05-13-16

Project Information

Project Identifiers	Project ID: 214175 DEA: 030H4804 EFIS: 0315000198
DIST-CO-RTE-PM	03-SAC-99-0.1/1.6,11.8/21.6
Award Date	08/20/2019
Closeout Date	08/11/2023
Work Description	COLD PLANE AC PAVEMENT AND RHMA OVERLAY.
Location Description	SACRAMENTO COUNTY IN AND NEAR GALT FROM DRY CREEK BRIDGE TO SIMMERHORN ROAD AND IN ELK GROVE AND SACRAMENTO FROM 0.9 MILE SOUTH OF ELK GROVE BOULEVARD TO MARTIN LUTHER KING JR BOULEVARD
QA Service Level	1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date	05/13/2019	Sample Unique Key	16
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	05/14/2020
Sample type	Verification	A brief description of the sample	3/4" HMA - A
The quantity of what the sample constitutes	JMF Verification	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	J.	Last name of sampler or witnessed by	Kort (WITNESS)
Title of sampler		Telephone number of sampler
Laboratory sample identification	JMF20-013	Linked DIME Sample ID
The fabricator/manufacturer/facility name	George Reed - Clements Plant	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)	91-03-0020::JACKSON VALLEY QUARRY
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	Hot Drop at the Plant
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

JMF Information

Verification ID	JMF3513-2021-5	Date Created	01/20/2021
JMF Submittal ID	JMF3511-23-2021-5	JMF Status	Submittal Accepted for Verification
Producer Mix ID	2019-CLM-004D-VAL-64-10/16	Authorized Date	N/A

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2019-05-13-16-1	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	D-10 Lab personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/17/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is an estimated guess, based on a completed CEM-3513 form from D-10.
2019-05-13-16-2	AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/17/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is an estimated guess, based on a completed CEM-3513 form from D-10.
2019-05-13-16-3	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/15/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is an estimated guess, based on a completed CEM-3513 form from D-10.
2019-05-13-16-4	AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/17/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is estimated, based on a completed CEM-3513 form from D-10.
2019-05-13-16-5	ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)	Kavon Rastegar, CT D03 - Olivehurst Northern Regional Laboratory	05/17/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date estimated, based on a completed CEM-3513 form from D-10.
2019-05-13-16-6	CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/16/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is estimated, based on a completed CEM-3513 form from D-10.
2019-05-13-16-7	AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/16/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is estimated, based on a completed CEM-3513 form from D-10.
2019-05-13-16-8	AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/15/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is estimated, based on a completed CEM-3513 form from D-10.
2019-05-13-16-9	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	D-10 Lab Personnel, CT D03 - Olivehurst Northern Regional Laboratory	05/15/2019	Kavon Rastegar	Yes	01/21/2021	JMF20-013. Test date is an estimate, based on a completed CEM-3513 form from D-10.

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2019-05-13-16-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2019-05-13-16-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2019-05-13-16-3 AASHTO T176-08 (Verified)
DIME Test ID: 2019-05-13-16-4 AASHTO T304-11 (Verified)
DIME Test ID: 2019-05-13-16-5 ASTM D4791-10 (Verified)
DIME Test ID: 2019-05-13-16-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2019-05-13-16-7 AASHTO T85-13 (Verified)
DIME Test ID: 2019-05-13-16-8 AASHTO T84-14 (Verified)
DIME Test ID: 2019-05-13-16-9 AASHTO T27-14 (Verified)