DIME - Sample Record for DIME Sample ID 2021-07-13-31

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Sample Record

Owner Lab

CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2021-07-13-31

Project Information

Project Identifiers	Project ID: 215660 DEA: 040W3804 EFIS: 0420000211
DIST-CO-RTE-PM	04-SM-92-R9.5/R10.4
Award Date	05/18/2021
Closeout Date	05/26/2022
Work Description	COLD PLANE AC PAVEMENT AND PLACE RHMA (G).
Location Description	SAN 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 Level	1 (Verified on 05/03/2021)

Sample Information

Sample Taken Date	07/13/2021	Sample Unique Key	31
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 testing	05/26/2021
Sample type	Verification	A brief description of the sample	3/4 CF Agg Sample
The quantity of what the sample constitutes	3 Bags	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Tanh Ng	Last name of sampler or witnessed by	Tanh Ng
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Peninsula Road Materials	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	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 collected	4 Bags of Aggregate
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

JMF Information

Verification ID	JMF3513-2021-69	Date Created	08/11/2021
JMF Submittal ID	JMF3511-318-2021-87	JMF Status	Submittal Authorized For Use
Producer Mix ID	937	Authorized Date	09/03/2021

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date
2021-07-13-31-2	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	Babak Kamranimoghaddam, CT D04 - Hayward DME / District Laboratory	07/13/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-3	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	Babak Kamranimoghaddam, CT D04 - Hayward DME / District Laboratory	07/13/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-4	AASHTO 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 Shelly, CT D04 - Hayward DME / District Laboratory	07/13/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-5	ASTM 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 Shelly, CT D04 - Hayward DME / District Laboratory	07/27/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-6	AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)	Nicholas Shelly, CT D04 - Hayward DME / District Laboratory	07/27/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-7	AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)	Nicholas Shelly, CT D04 - Hayward DME / District Laboratory	07/27/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-8	AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles)	Nicholas Shelly, CT D04 - Hayward DME / District Laboratory	07/27/2021	Babak Kamranimoghaddam	Yes	08/13/2021
2021-07-13-31-9	AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)	Nicholas Shelly, CT D04 - Hayward DME / District Laboratory	07/27/2021	Babak Kamranimoghaddam	Yes	08/13/2021

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
No results found.

Test File Attachments

DIME Test ID: 2021-07-13-31-2 AASHTO T27-14 (Verified)
DIME Test ID: 2021-07-13-31-3 AASHTO T176-08 (Verified)
DIME Test ID: 2021-07-13-31-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-07-13-31-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-07-13-31-6 AASHTO T84-14 (Verified)
DIME Test ID: 2021-07-13-31-7 AASHTO T304-11 (Verified)
DIME Test ID: 2021-07-13-31-8 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-07-13-31-9 AASHTO T85-13 (Verified)