Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-05-08-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215359
DEA: 081K1904
EFIS: 0818000207
DIST-CO-RTE-PM08-SBD-15-16.1/169.4
Award Date02/05/2021
Closeout DateNot set
Work DescriptionREMOVE, PREPARE AND FURNISH POLYESTER CONC OVERLAY & BRIDGE DECK.
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR HESPERIA AT VARIOUS LOCATIONS FROM CAJON CREEK TO MICRO DITCH.
QA Service Level1 (Verified on 03/30/2021)

Sample Information

Sample Taken Date05/08/2021 Sample Unique Key4
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 testing05/25/2021
Sample typeAcceptance A brief description of the sampleAggregate filler for Rapid set
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byJegbefume Last name of sampler or witnessed byAdodo
Title of samplerASR Telephone number of sampler
Laboratory sample identification21-PCC-0100 Linked DIME Sample ID
The fabricator/manufacturer/facility namenot provided Transportation Laboratory (TL) NumberC
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)na
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 collectedOriginal Manufacturer Packaging
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 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
2021-05-08-4-1CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory06/25/2021Bang Nguyen
Yes
06/01/2021
2021-05-08-4-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRyan KesterCT HQ - Sacramento Aggregate Testing Laboratory05/26/2021Bang Nguyen
Yes
06/01/2021