Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-08-20-25

Project Information

Project IdentifiersProject ID: 209242
DEA: 080P3104
EFIS: 0800001017
DIST-CO-RTE-PM08-SBD-395-16.2
Award Date02/20/2014
Closeout Date06/19/2015
Work DescriptionINSTALL TRAFFIC SIGNAL, INTERCONNECT, RAMP METER, AND LIGHTING
Location DescriptionSAN BERNARDINO COUNTY, IN ADELANTO, AT THE INTERSECTION OF STATE ROUTE 395 AND BARTLETT ROAD
QA Service Level1 (Verified on 04/16/2014)

Sample Information

Sample Taken Date08/20/2014 Sample Unique Key25
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 testing08/20/2014
Sample typeAnnual Source Testing A brief description of the sampleOne and a half inch PCC Aggregates
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 samplerUnknown
Laboratory sample identification4236B Linked DIME Sample ID0
The fabricator/manufacturer/facility nameRoberts Lucern Valley 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 36 0116
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1-1/2 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
2014-08-20-25-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory08/22/2014Nader Rashidi
Yes
02/20/2015
2014-08-20-25-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateFarzin FarahCT - Southern Regional Laboratory08/26/2014Farzin Farah
Yes
02/20/2015
2014-08-20-25-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineNader RashidiCT - Southern Regional Laboratory08/26/2014Nader Rashidi
Yes
02/20/2015
2014-08-20-25-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory09/09/2014Nemencio Daof
Yes
02/20/2015
2014-08-20-25-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Nader RashidiCT - Southern Regional Laboratory08/25/2014Nader Rashidi
Yes
02/20/2015