Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-12-29-4

Sample is locked from editing. info

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 Date12/29/2020 Sample Unique Key4
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 testing12/29/2020
Sample typeAggregate Prequalification Program A brief description of the sampleWashed 3/8" Crushed PCC Aggregate
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byMike Last name of sampler or witnessed byMaldonado
Title of samplerQuality Control Tech Telephone number of sampler
Laboratory sample identification2929 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVULCAN FISH CANYON QUARRY Transportation Laboratory (TL) NumberC-2020-11-12-22
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)91-19-0035
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 collectedStckpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 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
2020-12-29-4-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFriday OfoegbuCT - Southern Regional Laboratory01/11/2021Nader Rashidi-Ghader
Yes
02/02/2021
2020-12-29-4-7CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateFriday OfoegbuCT - Southern Regional Laboratory01/12/2021Nader Rashidi-Ghader
Yes
02/02/2021APP=2.77 SSD=2.70 O.D=2.66
2020-12-29-4-8CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineLarry DiazCT - Southern Regional Laboratory01/21/2021Nader Rashidi-Ghader
Yes
02/02/2021
2020-12-29-4-9CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNader Rashidi-Ghader/Satish JainCT - Southern Regional Laboratory01/19/2021Nader Rashidi-Ghader
Yes
02/02/2021
2020-12-29-4-10CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Larry DiazCT - Southern Regional Laboratory01/12/2021Nader Rashidi-Ghader
Yes
02/02/2021