Sample Record

Owner Labs

  • CT HQ - Sacramento Aggregate Testing Laboratory
  • CT - Southern Regional Laboratory

DIME Sample ID 2021-04-16-43

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 Key43
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 testing05/21/2021
Sample typeAggregate Prequalification Program A brief description of the samplePCC Fine Aggregate
The quantity of what the sample constitutes4 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 ID2021-04-16-27
The fabricator/manufacturer/facility nameCemex Redlands 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)91-36-0068
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number4420 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 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
2021-04-16-43-7CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFriday OfoegbuCT - Southern Regional Laboratory05/10/2021Nader Rashidi-Ghader
Yes
05/24/2021
2021-04-16-43-8CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateFriday OfoegbuCT - Southern Regional Laboratory05/10/2021Nader Rashidi-Ghader
Yes
05/24/2021
2021-04-16-43-9CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory05/13/2021Nader Rashidi-Ghader
Yes
05/24/2021
2021-04-16-43-10CTM 217-June 2011: Method of Test for Sand EquivalentFriday OfoegbuCT - Southern Regional Laboratory05/11/2021Nader Rashidi-Ghader
Yes
05/24/2021
2021-04-16-43-11CTM 229-June 2011: Method of Test for Durability IndexLarry DiazCT - Southern Regional Laboratory05/14/2021Nader Rashidi-Ghader
Yes
05/24/2021