Sample Record

Owner Lab

  • CT D11 - KM Lab

DIME Sample ID 2021-11-22-46

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215360
DEA: 112N0454
EFIS: 1118000198
DIST-CO-RTE-PM11-SD-94-30.0/39.0
Award Date02/18/2021
Closeout DateNot set
Work DescriptionPLACING CHIP SEAL, SLURRY SEAL, SHOULDER BACKING AND STRIPING.
Location DescriptionSAN DIEGO COUNTY NEAR DULZURA AND BARRETT JUNCTION FROM 0.9 MILE EAST OF GRANDE CREEK BRIDGE TO ROUTE 188.
QA Service Level1 (Verified on 02/08/2021)

Sample Information

Sample Taken Date11/22/2021 Sample Unique Key46
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 testing11/26/2021
Sample typeQuality Assurance A brief description of the sampleSlurry type III
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byNot Provided Last name of sampler or witnessed byNot Provided
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNot Provided 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)Not Provided
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 collectedSlurry Type III
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-11-22-46-1AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by WashingMohammad AbbassiCT D11 - KM Lab01/04/2022Mohammad Abbassi
Yes
01/11/2022Pass
2021-11-22-46-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Mohammad AbbassiCT D11 - KM Lab01/03/2022Mohammad Abbassi
Yes
01/11/2022Pass
2021-11-22-46-4AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Daniel SmithCT D11 - KM Lab01/11/2022Daniel Smith
Yes
01/11/2022Pass