Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-09-27-65

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215410
DEA: 060U5204
EFIS: 0616000003
DIST-CO-RTE-PM06-MAD-99-R14.0/R14.5,15.1/19.6
Award Date04/01/2021
Closeout Date10/03/2022
Work DescriptionHMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING.
Location DescriptionMADERA COUNTY IN AND NEAR MADERA FROM 0.2 MILE SOUTH OF AVENUE 17 OVERCROSSING TO 0.3 MILE NORTH OF AVENUE 17 OVERCROSSING AND FROM 1.0 MILE NORTH OF AVENUE 17 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 20 OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date09/27/2021 Sample Unique Key65
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 testing10/27/2021
Sample typeDispute Resolution A brief description of the sampleDispute 3/4" HMA-A-SR R15
The quantity of what the sample constitutes1 Bag of Aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byThomas Last name of sampler or witnessed byS
Title of sampler Telephone number of sampler
Laboratory sample identification5027 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Madera 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, name of Pit or Job Site)91-10-0010, 91-10-0024
The fabricator's/manufacturer's product name for the sample3/4 HMA-A-SP R15 The fabricator/manufacturer designation for the sample
The plant number221532 A detailed description of where the material sample was collectedBelt Cut at Vulcan Madera Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number2
Sublot number16 Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-27-65-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Friday Ofoegbu, CT D08 - Fontana Southern Regional Laboratory10/28/2021Michael Magana
Yes
11/01/2021Combined Virgin Aggregate Gradation
2021-09-27-65-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesFriday Ofoegbu, David Padilla, CT D08 - Fontana Southern Regional Laboratory10/29/2021Michael Magana
Yes
11/01/2021Combined RAP/Virgin Aggregate Gradation w/Correlation Factors Applied. RAP results from 0607-21 used.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-27-65-1 AASHTO T27-14 (Verified)
DIME Test ID: 2021-09-27-65-2 CTM 202-November 2011 (Verified)