DIME - Sample Record for DIME Sample ID 2021-03-30-30

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Sample Record

Owner Lab

CT D03 - North Region Materials Lab

DIME Sample ID 2021-03-30-30

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Project Information

Project Identifiers	Project ID: 215296 DEA: 031F1504 EFIS: 0300001101
DIST-CO-RTE-PM	03-SAC-50-R7.7/R9.5
Award Date	02/05/2021
Closeout Date	Not set
Work Description	PLACE HMA, RHMA, AGGREGATE BASE AND FIBER OPTIC SYSTEM.
Location Description	SACRAMENTO COUNTY IN AND NEAR RANCHO CORDOVA FROM BRADSHAW ROAD OVERCROSSING TO MATHER FIELD OVERCROSSING
QA Service Level	1 (Verified on 11/30/2020)

Sample Information

Sample Taken Date	03/30/2021	Sample Unique Key	30
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 testing	03/30/2021
Sample type	Verification	A brief description of the sample	3/4" (Nominal size) Untreated Virgin Aggregates
The quantity of what the sample constitutes	10 bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Teichert Personnel (SAMPLER)	Last name of sampler or witnessed by	Sam Mosallem (WITNESS)
Title of sampler		Telephone number of sampler
Laboratory sample identification	JMF21-019	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Teichert Perkins Batch Plant	Transportation Laboratory (TL) Number	C790491
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Aggregate	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 collected	Batch Plant Hot Bins
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		JMF Verification ID

Submitted Tests

DIME Test ID	Test Method	Tester Name	Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments	Actions
2021-03-30-30-1	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Jeff Herbert	CT D03 - North Region Materials Lab	05/12/2021	Kavon Rastegar	Yes	06/16/2021	JMF21-019.
2021-03-30-30-2	AASHTO 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 - North Region Materials Lab	05/12/2021	Kavon Rastegar	Yes	06/16/2021	JMF21-019.
2021-03-30-30-3	AASHTO 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 - North Region Materials Lab	05/12/2021	Kavon Rastegar	Yes	06/16/2021	JMF21-019.
2021-03-30-30-4	AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)	Thomas Stinnett	CT D03 - North Region Materials Lab	05/11/2021	Kavon Rastegar	Yes	06/16/2021	JMF21-019.
2021-03-30-30-5	ASTM 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 - North Region Materials Lab	05/11/2021	Kavon Rastegar	Yes	06/17/2021	JMF21-019.
2021-03-30-30-6	CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)	Jeff Herbert	CT D03 - North Region Materials Lab	05/12/2021	Kavon Rastegar	Yes	06/17/2021	JMF21-019.
2021-03-30-30-7	AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)	Julian Gonzales	CT D03 - North Region Materials Lab	05/11/2021	Kavon Rastegar	Yes	06/17/2021	JMF21-019.
2021-03-30-30-8	AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)	Thomas Stinnett	CT D03 - North Region Materials Lab	05/11/2021	Kavon Rastegar	Yes	06/17/2021	JMF21-019.
2021-03-30-30-9	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Julian Gonzales	CT D03 - North Region Materials Lab	05/10/2021	Kavon Rastegar	Yes	06/17/2021	JMF21-019.