Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-03-05-20

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214492
DEA: 033F5404
EFIS: 0313000136
DIST-CO-RTE-PM03-SAC-99,160-4.5/5.7,R44.5
Award Date01/24/2020
Closeout Date07/28/2022
Work DescriptionFURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location DescriptionSACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date03/05/2021 Sample Unique Key20
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 testing03/08/2021
Sample typeVerification A brief description of the sample3/4" (Nominal) Untreated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed bySam Mossallem (Witness) Last name of sampler or witnessed byTeichert Personnel (SAMPLER)
Title of samplerTeichert Personnel Telephone number of samplerUnknown
Laboratory sample identificationJMF21-009 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins - Continuous Plant Dreyer Drum Transportation Laboratory (TL) NumberC 849135
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-34-0045::ASPEN IV SOUTH
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedCold Feed
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-45 Date Created04/15/2021
JMF Submittal IDJMF3511-23-2021-57 JMF StatusSubmittal Authorized For Use
Producer Mix IDGC202102-SP Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-05-20-1AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/15/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-2AASHTO 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)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/18/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/16/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-4AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/16/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-5ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/16/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-6CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory03/18/2021Kavon Rastegar
Yes
04/19/2021JMF21-009. No Plastic (NP)
2021-03-05-20-7AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/30/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-8AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/16/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.
2021-03-05-20-9AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory03/12/2021Kavon Rastegar
Yes
04/19/2021JMF21-009.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-03-05-20-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-03-05-20-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-03-05-20-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-03-05-20-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-03-05-20-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-03-05-20-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-03-05-20-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-03-05-20-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-03-05-20-9 AASHTO T27-14 (Verified)