Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-04-05-28

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214764
DEA: 032H6404
EFIS: 0317000167
DIST-CO-RTE-PM03-SAC-12,160-0.4/0.9,L10.5/R0.2
Award Date05/20/2020
Closeout Date05/11/2022
Work DescriptionMODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location DescriptionSACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date04/05/2021 Sample Unique Key28
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 testing04/06/2021
Sample typeVerification A brief description of the sample3/4" (Nominal Size) Untreated Virgin Aggregate.
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byGeorge Reed Personnel (SAMPLER) Last name of sampler or witnessed by Moses Onejeme (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-011 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed Inc- Clements Batch Plant Transportation Laboratory (TL) NumberC123456
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)91-03-0020::JACKSON VALLEY QUARRY
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 collectedBatch Plant Hot Bins
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-50 Date Created05/06/2021
JMF Submittal IDJMF3511-23-2021-62 JMF StatusSubmittal Authorized For Use
Producer Mix ID2021-CLM-004R-VSS Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-05-28-1AASHTO 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 Laboratory04/27/2021Kavon Rastegar
Yes
05/10/2021JMF21-011.
2021-04-05-28-2AASHTO 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)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory04/29/2021Kavon Rastegar
Yes
05/10/2021JMF21-011.
2021-04-05-28-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Julian Gonzales, CT D03 - Olivehurst Northern Regional Laboratory04/23/2021Kavon Rastegar
Yes
05/10/2021JMF21-011.
2021-04-05-28-4AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory04/23/2021Kavon Rastegar
Yes
05/10/2021JMF21-011.
2021-04-05-28-5ASTM 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 Laboratory04/23/2021Kavon Rastegar
Yes
05/10/2021JMF21-011.
2021-04-05-28-6CTM 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 Laboratory04/23/2021Kavon Rastegar
Yes
05/10/2021JMF21-011.
2021-04-05-28-7AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Julian Gonzales, CT D03 - Olivehurst Northern Regional Laboratory04/22/2021Kavon Rastegar
Yes
05/11/2021JMF21-011.
2021-04-05-28-8AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Thomas Stinnett, CT D03 - Olivehurst Northern Regional Laboratory04/23/2021Kavon Rastegar
Yes
05/11/2021JMF21-011. Report only.
2021-04-05-28-9AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Julian Gonzales, CT D03 - Olivehurst Northern Regional Laboratory04/21/2021Kavon Rastegar
Yes
05/11/2021JMF21-011.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-04-05-28-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-04-05-28-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-04-05-28-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-04-05-28-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-04-05-28-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-04-05-28-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-04-05-28-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-04-05-28-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-04-05-28-9 AASHTO T27-14 (Verified)