Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2021-03-30-30

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215296
DEA: 031F1504
EFIS: 0300001101
DIST-CO-RTE-PM03-SAC-50-R7.7/R9.5
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location DescriptionSACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
QA Service Level1 (Verified on 11/30/2020)

Sample Information

Sample Taken Date03/30/2021 Sample Unique Key30
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 testing03/30/2021
Sample typeVerification A brief description of the sample3/4" (Nominal size) Untreated Virgin Aggregates
The quantity of what the sample constitutes10 bags 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 identificationJMF21-019 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Perkins Batch Plant Transportation Laboratory (TL) NumberC790491
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)91-34-0045
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 JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-30-30-1AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Jeff HerbertCT D03 - North Region Materials Lab05/12/2021Kavon Rastegar
Yes
06/16/2021JMF21-019.
2021-03-30-30-2AASHTO 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 HerbertCT D03 - North Region Materials Lab05/12/2021Kavon Rastegar
Yes
06/16/2021JMF21-019.
2021-03-30-30-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Julian GonzalesCT D03 - North Region Materials Lab05/12/2021Kavon Rastegar
Yes
06/16/2021JMF21-019.
2021-03-30-30-4AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Thomas StinnettCT D03 - North Region Materials Lab05/11/2021Kavon Rastegar
Yes
06/16/2021JMF21-019.
2021-03-30-30-5ASTM 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 StinnettCT D03 - North Region Materials Lab05/11/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-30-6CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Jeff HerbertCT D03 - North Region Materials Lab05/12/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-30-7AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Julian GonzalesCT D03 - North Region Materials Lab05/11/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-30-8AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Thomas StinnettCT D03 - North Region Materials Lab05/11/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.
2021-03-30-30-9AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Julian GonzalesCT D03 - North Region Materials Lab05/10/2021Kavon Rastegar
Yes
06/17/2021JMF21-019.