Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2021-08-25-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215494
DEA: 081H4904
EFIS: 0817000059
DIST-CO-RTE-PM08-SBD-18-31.9/38.5
Award Date04/05/2021
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A).
Location DescriptionSAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL
QA Service Level1 (Verified on 07/06/2021)

Sample Information

Sample Taken Date08/25/2021 Sample Unique Key19
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 testing08/26/2021
Sample typeQuality Assurance A brief description of the sample3/4" HMA-A-R12
The quantity of what the sample constitutes2 bags combine aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMatich Corporation, rialto 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)91-36-0040
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 collectedConveyer Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberLHP-62D Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-25-19-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)M. HaqueCT D08 - Fontana Field Testing Laboratory08/27/2021Rhea Osorio
Yes
09/02/2021
2021-08-25-19-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)M. HaqueCT D08 - Fontana Field Testing Laboratory08/27/2021Rhea Osorio
Yes
09/02/2021