Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-06-16-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215148
DEA: 081E8404
EFIS: 0814000113
DIST-CO-RTE-PM08-RIV,SBD-62-R6.7/9.2,0.0/15.1,29.3/33.6
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE ROADWAY WITH RHMA-G AND HMA.
Location DescriptionIN RIVERSIDE AND SAN BERNARDINO COUNTIES IN AND NEAR YUCCA VALLEY AND IN TWENTYNINE PALMS FROM 0.2 MILE NORTH OF INDIAN CANYON DRIVE TO 0.6 MILE WEST OF UTAH TRAIL
QA Service Level1 (Verified on 03/18/2021)

Sample Information

Sample Taken Date06/16/2021 Sample Unique Key18
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 testing06/16/2021
Sample typeQuality Assurance A brief description of the sampleRHMA-G 3/4"
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byOluoha
Title of sampler Telephone number of sampler
Laboratory sample identification1 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMatich Corporation 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)91-36-0040
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 collectedbelt an chute
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberCHP-68E Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-16-18-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)K. PatelCT D08 - Fontana Field Testing Laboratory06/17/2021Rhea Osorio
Yes
06/24/2021
2021-06-16-18-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)K. PatelCT D08 - Fontana Field Testing Laboratory06/17/2021Rhea Osorio
Yes
06/24/2021