Sample Record
Owner Labs
- BSK Associates
- CT D04 - DME / District Lab
DIME Sample ID 2021-08-20-53
Project Information
| Project Identifiers | Project ID: 214114 DEA: 040A5394 EFIS: 0418000244 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80,12-11.4/12.8, 2.1/2.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc. |
| Location Description | I-80/I-680/Route 12 Interchange |
| QA Service Level | 1 (Verified on 04/23/2019) |
Sample Information
| Sample Taken Date | 08/20/2021 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 08/20/2021 |
| Sample type | Verification | A brief description of the sample | 4 Bags of Mix Aggregates |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Tarech CA | Last name of sampler or witnessed by | CA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Syar Indunsties Lake Herman Batch | 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 or name of Pit) | 91-48-0002::LAKE HERMAN QUARRY |
|---|---|---|---|
| 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 | Syar Vallejo | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | JMF Verification ID | JMF3513-2021-80 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2021-08-20-53-1 | AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity) | Nicholas Shelly | CT D04 - DME / District Lab | 09/01/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-2 | AASHTO T335-09r13: Standard Method of Test for Determining the Percentage of Fracture in Coarse Aggregate (Percent of Crushed Particles) | Nicholas Shelly | CT D04 - DME / District Lab | 09/01/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-3 | AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles) | Nicholas Shelly | CT D04 - DME / District Lab | 09/01/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-4 | AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity) | Nicholas Shelly | CT D04 - DME / District Lab | 08/31/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-5 | 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 - DME / District Lab | 09/01/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-6 | 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) | Randy Cortez | CT D04 - DME / District Lab | 09/01/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-7 | THIS TEST HAS BEEN SUPERSEDED. AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis) | Nicholas Shelly | CT D04 - DME / District Lab | 09/08/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | THIS TEST HAS BEEN SUPERSEDED. | |
| 2021-08-20-53-8 | AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis) | Nicholas Shelly | CT D04 - DME / District Lab | 08/31/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 | ||
| 2021-08-20-53-9 | AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis) | Nicholas Shelly | CT D04 - DME / District Lab | 09/08/2021 | Babak Kamranimoghaddam | No | Info | ||
| 2021-08-20-53-10 | AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent) | Nicholas Shelly | CT D04 - DME / District Lab | 08/31/2021 | Babak Kamranimoghaddam | Yes | 09/22/2021 |