Sample Record

Owner Lab

  • Holliday Rock Co., Inc.

DIME Sample ID 2020-05-26-42

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/26/2020 Sample Unique Key42
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 testing05/29/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes50 lb From where was the sample collectedSource
First name of sampler or witnessed byGherardo Last name of sampler or witnessed byZubieta
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Rock Upland 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)91-36-0006::FOOTHILL QUARRY AND PLANT
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 collectedfrom a stacker production pile
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
2020-05-26-42-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVance OlsenHolliday Rock Co., Inc.06/05/2020Travis Diaz
Yes
01/22/2021
2020-05-26-42-2CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandVance OlsenHolliday Rock Co., Inc.06/05/2020Travis Diaz
Yes
01/22/2021
2020-05-26-42-3CTM 229-June 2011: Method of Test for Durability IndexVance OlsenHolliday Rock Co., Inc.06/05/2020Travis Diaz
Yes
01/22/2021
2020-05-26-42-4CTM 217-June 2011: Method of Test for Sand EquivalentVance OIsenHolliday Rock Co., Inc.06/05/2020Travis Diaz
Yes
01/25/2021
2020-05-26-42-5CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateMiguel RoblesHolliday Rock Co., Inc.02/05/2021Travis Diaz
Yes
02/16/2021