Sample Record

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

DIME Sample ID 2021-04-12-65

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215033
DEA: 033H6504
EFIS: 0318000027
DIST-CO-RTE-PM03-NEV-49-8.3/8.7
Award Date08/07/2020
Closeout Date09/23/2021
Work DescriptionCONSTRUCT A TWO-WAY LEFT-TURN LANE AND 8' SHOULDERS.
Location DescriptionNEVADA COUNTY ON ROUTE 49 FROM 0.1 MILE SOUTH OF ROUND VALLEY ROAD TO 0.1 MILE NORTH OF QUAIL CREEK DRIVE
QA Service Level1 (Verified on 06/22/2020)

Sample Information

Sample Taken Date04/12/2021 Sample Unique Key65
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 testing04/13/2021
Sample typeVerification A brief description of the sample3/4" (Nominal) sized untreated Virgin Aggregate
The quantity of what the sample constitutesThree Bags From where was the sample collectedSource
First name of sampler or witnessed byKRC Personnel (SAMPLER) Last name of sampler or witnessed byThao Xiong (WITNESS)
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationJMF21-022 Linked DIME Sample ID
The fabricator/manufacturer/facility nameKnife River Construction - Hallwood Transportation Laboratory (TL) NumberC779131
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)91-58-0002
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedHMA Plant Cold Feed
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-62 Date Created06/21/2021
JMF Submittal IDJMF3511-23-2021-79 JMF StatusSubmittal Authorized For Use
Producer Mix IDHR-22771000V Authorized Date09/10/2021

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-12-65-1AASHTO 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 Laboratory05/25/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.
2021-04-12-65-2AASHTO 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 Laboratory05/25/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.
2021-04-12-65-3AASHTO 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 Laboratory05/26/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.
2021-04-12-65-4ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Jeff Herbert, CT D03 - Olivehurst Northern Regional Laboratory05/25/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.
2021-04-12-65-5CTM 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 Laboratory05/25/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.
2021-04-12-65-6AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Julian Gonzales, CT D03 - Olivehurst Northern Regional Laboratory05/26/2021Kavon Rastegar
Yes
06/22/2021JMF21-022. Report Only
2021-04-12-65-7AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Julian Gonzales, CT D03 - Olivehurst Northern Regional Laboratory05/27/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.
2021-04-12-65-8THIS TEST HAS BEEN SUPERSEDED.
AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Kavon Rastegar, CT D03 - Olivehurst Northern Regional Laboratory05/24/2021Kavon Rastegar
Yes
06/22/2021THIS TEST HAS BEEN SUPERSEDED.
JMF21-022. Julian Gonzales
2021-04-12-65-9AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Julian Gonzales, CT D03 - Olivehurst Northern Regional Laboratory05/24/2021Kavon Rastegar
Yes
06/22/2021JMF21-022.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-04-12-65-1 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-04-12-65-2 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-04-12-65-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-04-12-65-4 ASTM D4791-10 (Verified)
DIME Test ID: 2021-04-12-65-5 CTM 204-June 2010 (Verified)
DIME Test ID: 2021-04-12-65-6 AASHTO T85-13 (Verified)
DIME Test ID: 2021-04-12-65-7 AASHTO T84-14 (Verified)
DIME Test ID: 2021-04-12-65-8 AASHTO T27-14 (Verified)
DIME Test ID: 2021-04-12-65-9 AASHTO T27-14 (Verified)