Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2021-04-02-25

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date04/02/2021 Sample Unique Key25
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing06/23/2021
Sample typeAggregate Prequalification Program A brief description of the sampleWASHED SAND
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byFernando Last name of sampler or witnessed byNajera
Title of samplerSupervisor I Telephone number of sampler661-473-4490
Laboratory sample identification1668592767 Linked DIME Sample ID2021-04-02-22
The fabricator/manufacturer/facility nameGCCO Solari Transportation Laboratory (TL) Number4401
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)91-15-0114
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 Cut at Granite Solari
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
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
2021-04-02-25-7CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSatish JainCT - Southern Regional Laboratory07/30/2021Nader Rashidi-Ghader
Yes
08/11/2021
2021-04-02-25-8CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateFriday OfoegbuCT - Southern Regional Laboratory08/03/2021Nader Rashidi-Ghader
Yes
08/11/2021
2021-04-02-25-9CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory08/04/2021Nader Rashidi-Ghader
Yes
08/11/2021
2021-04-02-25-10CTM 217-June 2011: Method of Test for Sand EquivalentSatish JainCT - Southern Regional Laboratory07/30/2021Nader Rashidi-Ghader
Yes
08/11/2021
2021-04-02-25-11CTM 229-June 2011: Method of Test for Durability IndexSatish JainCT - Southern Regional Laboratory08/03/2021Nader Rashidi-Ghader
Yes
08/11/2021