Sample Record

Owner Lab

  • CT D08 - Barstow Field Testing Laboratory

DIME Sample ID 2021-07-16-58

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215350
DEA: 081E0604
EFIS: 0813000140
DIST-CO-RTE-PM08-SBD-18-97.0/99.5
Award Date02/23/2021
Closeout DateNot set
Work DescriptionWIDEN ROADWAY WITH HMA, MINOR CONCRETE & MODIFY SIGNAL & LIGHTING.
Location DescriptionSAN BERNARDINO COUNTY IN VICTORVILLE FROM AMARGOSA ROAD TO COBALT ROAD
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date07/16/2021 Sample Unique Key58
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 testing07/16/2021
Sample typeQuality Assurance A brief description of the sample1 x 4 PCC Aggregate and Sand
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byRAMY Last name of sampler or witnessed byM
Title of samplerTET Telephone number of sampler
Laboratory sample identification630 at 10 cy out Linked DIME Sample ID
The fabricator/manufacturer/facility nameHi Grade - Oro Grande 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)91-36-0046
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 collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
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
2021-07-16-58-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)dizhou ouCT D08 - Barstow Field Testing Laboratory07/16/2021Minh Pham
Yes
08/06/2021