Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-03-19-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215405
DEA: 032G1604
EFIS: 0320000235
DIST-CO-RTE-PM03-YOL-45-0.6/12.9
Award Date02/16/2021
Closeout Date06/30/2021
Work DescriptionCOLD PLANE AC PAVEMENT AND REPLACE WITH HOT MIX ASPHALT.
Location DescriptionYOLO COUNTY NEAR KNIGHTS LANDING FROM SYCAMORE SLOUGH BRIDGE TO YOLO COUNTY LINE ROAD
QA Service Level1 (Verified on 01/18/2021)

Sample Information

Sample Taken Date03/19/2021 Sample Unique Key23
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 testing03/19/2021
Sample typeVerification A brief description of the sample3/4" (Primary Aggregate Nominal) 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 bySam Mosallem (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-015 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert - Woodland Plant Transportation Laboratory (TL) NumberC849138
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)91-57-0006
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 IDJMF3513-2021-51 Date Created05/24/2021
JMF Submittal IDJMF3511-23-2021-63 JMF StatusSubmittal Authorized For Use
Producer Mix ID40332407 Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-19-23-1AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory05/03/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-2AASHTO 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 Laboratory05/03/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-3AASHTO 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 Laboratory05/03/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-4AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Thomas Stinnett , CT D03 - Olivehurst Northern Regional Laboratory05/04/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-5ASTM 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 Laboratory05/04/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-6CTM 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 Laboratory05/03/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-7AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Julian Gonzales , CT D03 - Olivehurst Northern Regional Laboratory04/29/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.
2021-03-19-23-8AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Kavon Rastegar, CT D03 - Olivehurst Northern Regional Laboratory05/04/2021Kavon Rastegar
Yes
05/26/2021JMF21-015. Thomas Stinnett
2021-03-19-23-9AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Julian Gonzales , CT D03 - Olivehurst Northern Regional Laboratory04/27/2021Kavon Rastegar
Yes
05/26/2021JMF21-015.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-03-19-23-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-03-19-23-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-03-19-23-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-03-19-23-4 AASHTO T304-11 (Verified)
DIME Test ID: 2021-03-19-23-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-03-19-23-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-03-19-23-7 AASHTO T85-13 (Verified)
DIME Test ID: 2021-03-19-23-8 AASHTO T84-14 (Verified)
DIME Test ID: 2021-03-19-23-9 AASHTO T27-14 (Verified)