Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - DME / District Lab

DIME Sample ID 2021-08-20-59

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 Key59
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 Mixed Aggregate
The quantity of what the sample constitutes4 Bags From where was the sample collectedFabricator
First name of sampler or witnessed byNick Last name of sampler or witnessed byHall
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSyar Vallejo 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 collectedPlant QC
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2021-81

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-20-59-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Nicholas ShellyCT D04 - DME / District Lab09/01/2021Babak Kamranimoghaddam
Yes
10/06/2021
2021-08-20-59-2AASHTO T84-14: Standard Method of Test for Specific Gravity and Absorption of Fine Aggregate (Fine Specific Gravity)David OrdezCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
10/06/2021
2021-08-20-59-3AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)David OrdezCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
10/06/2021
2021-08-20-59-4AASHTO 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)David OrdezCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
10/06/2021
2021-08-20-59-5AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Nicholas ShellyCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
10/06/2021
2021-08-20-59-6AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Randy CortezCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
10/06/2021
2021-08-20-59-7AASHTO T304-11: Standard Method of Test for Uncompacted Void Content of Fine Aggregate (Fine of Crushed Particles)David OrdezCT D04 - DME / District Lab09/08/2021Babak Kamranimoghaddam
Yes
10/06/2021