Sample Record

Owner Lab

  • Holliday Rock Co., Inc.

DIME Sample ID 2021-05-19-42

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 Date05/19/2021 Sample Unique Key42
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 testing05/20/2021
Sample typeAggregate Prequalification Program A brief description of the sample1" Aggregate (#3)
The quantity of what the sample constitutes12 bags From where was the sample collectedSource
First name of sampler or witnessed byTom Last name of sampler or witnessed byMilum
Title of samplerLab Manager Telephone number of sampler(909) 982-1553 ex. 2359
Laboratory sample identification1668-CR Linked DIME Sample ID
The fabricator/manufacturer/facility nameHolliday Rock Co Inc 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)91-15-0080
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 collectedSample Pile
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
2021-05-19-42-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSteve RunyanHolliday Rock Co., Inc.05/20/2021Grant Miller
Yes
08/18/2021
2021-05-19-42-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Steve RunyanHolliday Rock Co., Inc.05/20/2021Grant Miller
Yes
08/18/2021
2021-05-19-42-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineSteve RunyanHolliday Rock Co., Inc.05/20/2021Grant Miller
Yes
08/18/2021
2021-05-19-42-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateThomas RemmelHolliday Rock Co., Inc.05/20/2021Grant Miller
Yes
08/18/2021