Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-05-3

Project Information

Project IdentifiersProject ID: 208798
DEA: 080R1904
EFIS: 0812000031
DIST-CO-RTE-PM08-RIV-74-23.1
Award Date04/03/2014
Closeout Date05/11/2015
Work DescriptionINSTALL LIGHTING AND TRAFFIC SIGNALS.
Location DescriptionRIVERSIDE COUNTY NEAR PERRIS AT THEDA STREET
QA Service Level1 (Verified on 04/16/2014)

Sample Information

Sample Taken Date08/05/2014 Sample Unique Key3
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 testing08/05/2014
Sample typeAnnual Source Testing A brief description of the sample1 Inch Rock
The quantity of what the sample constitutes8 Bags From where was the sample collectedSource
First name of sampler or witnessed byTom Last name of sampler or witnessed byMilum
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identification4209B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameRobertsons Banning Quarry Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91-33-0012
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 collectedStockpiles
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-08-05-3-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMartin RuizCT - Southern Regional Laboratory02/20/2015Martin Ruiz
Yes
02/20/2015
2014-08-05-3-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateNader RashidiCT - Southern Regional Laboratory02/20/2015Nader Rashidi
Yes
02/20/2015
2014-08-05-3-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineMartin RuizCT - Southern Regional Laboratory02/20/2015Martin Ruiz
Yes
02/20/2015
2014-08-05-3-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory02/20/2015Nemencio Daof
Yes
02/20/2015
2014-08-05-3-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Nader RashidiCT - Southern Regional Laboratory02/20/2015Nader Rashidi
Yes
02/20/2015