Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-06-01-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award DateNot set
Closeout DateNot set
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date06/01/2021 Sample Unique Key14
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 testing06/04/2021
Sample typeAcceptance A brief description of the samplePSUE 3/4" RHMA-G-SP 0.5% LAS
The quantity of what the sample constitutes6 Bags of Combined Aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byCalifornia Commercial Asphalt Lake Elsinore Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0332G-21 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalifornia Commercial Asphalt - Lake Elsinore 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)91-33-0098
The fabricator's/manufacturer's product name for the sample3/4 RHMA-G-SP The fabricator/manufacturer designation for the sample
The plant number53418180 A detailed description of where the material sample was collectedBelt Cut at California Commercial Asphalt Lake Elsinore Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 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
2021-06-01-14-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Michael Magana, Edmond JabbourCT - Southern Regional Laboratory06/07/2021Michael Magana
Yes
06/08/2021Combined Virgin Aggregate Gradation
2021-06-01-14-5AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Friday OfoegbuCT - Southern Regional Laboratory06/07/2021Michael Magana
Yes
06/08/2021