Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-04-16-38

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 Date04/16/2021 Sample Unique Key38
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing04/28/2021
Sample typeAggregate Prequalification Program A brief description of the sampleCoarse PCC Aggregate
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byMarc Last name of sampler or witnessed bySegura
Title of samplerQC Supervisor Telephone number of sampler9094368680
Laboratory sample identification Linked DIME Sample ID2021-04-16-33
The fabricator/manufacturer/facility nameCemex-White Mountain Transportation Laboratory (TL) Number
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)91-36-0106
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number4423 A detailed description of where the material sample was collectedProduction stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 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
2021-04-16-38-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFriday OfoegbuCT - Southern Regional Laboratory05/13/2021Nader Rashidi-Ghader
Yes
05/25/2021
2021-04-16-38-7CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateLarry DiazCT - Southern Regional Laboratory05/14/2021Nader Rashidi-Ghader
Yes
05/25/2021
2021-04-16-38-8CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineFriday OfoegbuCT - Southern Regional Laboratory05/13/2021Nader Rashidi-Ghader
Yes
05/25/2021
2021-04-16-38-9CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNader Rashidi-GhaderCT - Southern Regional Laboratory05/24/2021Nader Rashidi-Ghader
Yes
05/25/2021
2021-04-16-38-10CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Larry DiazCT - Southern Regional Laboratory05/22/2021Nader Rashidi-Ghader
Yes
05/25/2021