Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-03-29-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214885
DEA: 080K1234
EFIS: 0815000242
DIST-CO-RTE-PM08-SBD-15-64.6/75.3
Award Date06/03/2020
Closeout DateNot set
Work DescriptionCOLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RHMA-G.
Location DescriptionSAN BERNARDINO COUNTY FROM 1.2 MILES SOUTH OF SIDEWINDER ROAD OVERCROSSING TO MOJAVE RIVER BRIDGE
QA Service Level1 (Verified on 07/10/2020)

Sample Information

Sample Taken Date03/29/2021 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 testing03/29/2021
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byHindman
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Lucern Quarry Transportation Laboratory (TL) Number3605
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)91-36-0116
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 collectedStockpile @ Plant
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
2021-03-29-24-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesLarry DiazCT - Southern Regional Laboratory04/14/2021Nader Rashidi-Ghader
Yes
05/04/2021
2021-03-29-24-7CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateFriday OfoegbuCT - Southern Regional Laboratory04/15/2021Nader Rashidi-Ghader
Yes
05/04/2021
2021-03-29-24-8CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory04/21/2021Nader Rashidi-Ghader
Yes
05/04/2021
2021-03-29-24-9CTM 217-June 2011: Method of Test for Sand EquivalentJose GuzmanCT - Southern Regional Laboratory04/14/2021Nader Rashidi-Ghader
Yes
05/04/2021
2021-03-29-24-10CTM 229-June 2011: Method of Test for Durability IndexJose GuzmanCT - Southern Regional Laboratory04/14/2021Nader Rashidi-Ghader
Yes
05/04/2021