Sample Record

Owner Lab

  • CT D04 - DME / District Lab

DIME Sample ID 2021-07-13-31

Project Information

Project IdentifiersProject ID: 215660
DEA: 040W3804
EFIS: 0420000211
DIST-CO-RTE-PM04-SM-92-R9.5/R10.4
Award Date05/18/2021
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RHMA (G).
Location DescriptionSAN MATEO COUNTY IN SAN MATEO FROM 0.1 MILE EAST OF WEST HILLSDALE BOULEVARD UNDERCROSSING TO 0.1 MILE WEST OF ALAMEDA DE LAS PULGAS OVERCROSSING
QA Service Level1 (Verified on 05/03/2021)

Sample Information

Sample Taken Date07/13/2021 Sample Unique Key31
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 testing05/26/2021
Sample typeVerification A brief description of the sample3/4 CF Agg Sample
The quantity of what the sample constitutes 3 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byTanh Ng Last name of sampler or witnessed byTanh Ng
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePeninsula Road Materials 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)91-21-0008
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 collected4 Bags of Aggregate
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2021-69

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-13-31-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Babak KamranimoghaddamCT D04 - DME / District Lab07/13/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Babak KamranimoghaddamCT D04 - DME / District Lab07/13/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-4AASHTO 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)Nicholas ShellyCT D04 - DME / District Lab07/13/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-5ASTM D4791-10: Standard Test Method for Flat Particles, Elongated Particles, or Flat and Elongated Particles in Coarse Aggregate (Withdrawn 2019) (Flat and Elongated Particles)Nicholas ShellyCT D04 - DME / District Lab07/27/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-6AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)Nicholas ShellyCT D04 - DME / District Lab07/27/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-7AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)Nicholas ShellyCT D04 - DME / District Lab07/27/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-8AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)Nicholas ShellyCT D04 - DME / District Lab07/27/2021Babak Kamranimoghaddam
Yes
08/13/2021
2021-07-13-31-9AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Nicholas ShellyCT D04 - DME / District Lab07/27/2021Babak Kamranimoghaddam
Yes
08/13/2021