Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2021-08-20-53

Project Information

Project IdentifiersProject ID: 214114
DEA: 040A5394
EFIS: 0418000244
DIST-CO-RTE-PM04-SOL-80,12-11.4/12.8, 2.1/2.8
Award DateNot set
Closeout DateNot set
Work DescriptionWiden EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc.
Location DescriptionI-80/I-680/Route 12 Interchange
QA Service Level1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date08/20/2021 Sample Unique Key53
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 testing08/20/2021
Sample typeVerification A brief description of the sample4 Bags of Mix Aggregates
The quantity of what the sample constitutes4 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byTarech CA Last name of sampler or witnessed byCA
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar 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 TypeAggregate 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 collectedSyar Vallejo
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

JMF Information

Verification IDJMF3513-2021-80 Date Created09/22/2021
JMF Submittal IDJMF3511-318-2021-98 JMF StatusSubmittal Accepted for Verification
Producer Mix ID311101510-LD_0121 Authorized DateN/A

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-20-53-11AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Randy CortezCT D04 - Hayward DME / District Laboratory08/31/2021Babak Kamranimoghaddam
Yes
09/22/2021

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2021-08-20-53-1 AASHTO T85-13 (Verified)
DIME Test ID: 2021-08-20-53-2 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-08-20-53-3 AASHTO T304-11 (Verified)
DIME Test ID: 2021-08-20-53-4 AASHTO T84-14 (Verified)
DIME Test ID: 2021-08-20-53-5 ASTM D4791-10 (Verified)
DIME Test ID: 2021-08-20-53-6 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-08-20-53-7 AASHTO T30-19 (Verified)
DIME Test ID: 2021-08-20-53-8 AASHTO T27-14 (Verified)
DIME Test ID: 2021-08-20-53-9 AASHTO T30-19
DIME Test ID: 2021-08-20-53-10 AASHTO T176-08 (Verified)
DIME Test ID: 2021-08-20-53-11 AASHTO T209-12 (Verified)