Sample Record

Owner Lab

  • CT D03 - Field Laboratory

DIME Sample ID 2021-04-01-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212914
DEA: 031E0604
EFIS: 0312000068
DIST-CO-RTE-PM03-YUB-70-15.5/16.5
Award Date07/31/2019
Closeout DateNot set
Work DescriptionSIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location DescriptionNEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
QA Service Level1 (Verified on 08/22/2019)

Sample Information

Sample Taken Date04/01/2021 Sample Unique Key24
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 testing04/01/2021
Sample typeVerification A brief description of the sample3/4" (Nominal Sized( Untreated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byTeichert Personnel (SAMPLER) Last name of sampler or witnessed by Brad McKeehan (WITNESS)
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationJMF21-020A Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert-Hallwood Drum Plant Transportation Laboratory (TL) NumberC706328
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameNot Applicable

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-58-0006
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 numberNot Applicable Lot numberUnknown
Sublot numberUnknown JMF Verification ID JMF3513-2021-49

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-01-24-1AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Jeff HerbertCT D03 - Field Laboratory04/19/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-2AASHTO 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)Julian GonzalesCT D03 - Field Laboratory04/21/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A. Julian Gonzales
2021-04-01-24-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Julian GonzalesCT D03 - Field Laboratory04/20/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-4AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Thomas StinnettCT D03 - Field Laboratory04/16/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-5ASTM 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 StinnettCT D03 - Field Laboratory04/16/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-6CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Jeff HerbertCT D03 - Field Laboratory04/19/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-7AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Julian GonzalesCT D03 - Field Laboratory04/20/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-8AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Thomas StinnettCT D03 - Field Laboratory04/16/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.
2021-04-01-24-9AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Julian GonzalesCT D03 - Field Laboratory04/15/2021Kavon Rastegar
Yes
05/04/2021JMF21-020A.