Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-05-5

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 Key5
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 sampleWashed Concrete Sand
The quantity of what the sample constitutes3 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 identification4211B 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 Sizefine
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
2014-08-05-5-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNemencio DaofCT - Southern Regional Laboratory02/20/2015Nemencio Daof
Yes
02/20/2015
2014-08-05-5-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory02/20/2015Nemencio Daof
Yes
02/20/2015
2014-08-05-5-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory02/20/2015Satish Jain
Yes
02/20/2015
2014-08-05-5-4CTM 217-June 2011: Method of Test for Sand EquivalentNemencio DaofCT - Southern Regional Laboratory02/20/2015Nemencio Daof
Yes
02/20/2015
2014-08-05-5-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory02/20/2015Nemencio Daof
Yes
02/20/2015