DIME - Sample Record for DIME Sample ID 2021-12-06-55

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Sample Record

Owner Lab

CT D11 - District 11 Materials Laboratory

DIME Sample ID 2021-12-06-55

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Project Information

Project Identifiers	Project ID: 215501 DEA: 112N0744 EFIS: 1119000166
DIST-CO-RTE-PM	11-SD-163-5.6/R11.2
Award Date	03/30/2021
Closeout Date	09/14/2023
Work Description	APPLY MICRO-SURFACING AND PLACE PAVEMENT DELINEATION AT RAMPS.
Location Description	SAN DIEGO COUNTY IN SAN DIEGO FROM 1.3 MILES NORTH OF FRIARS ROAD OVERCROSSING TO 0.3 MILE NORTH OF KEARNY VILLA ROAD OVERCROSSING
QA Service Level	1 (Verified on 07/19/2021)

Sample Information

Sample Taken Date	12/06/2021	Sample Unique Key	55
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 testing	12/07/2021
Sample type	Quality Assurance	A brief description of the sample	3/8" Type III Aggregate
The quantity of what the sample constitutes	2 bags	From where was the sample collected	Source
First name of sampler or witnessed by	Farsheed	Last name of sampler or witnessed by	Fani
Title of sampler	Assistant RE	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Coachella Valley	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Information

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	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 collected	Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2021-12-06-55-1	CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates	Melchor Oronoz, CT D11 - District 11 Materials Laboratory	01/07/2022	Melchor Oronoz	Yes	01/13/2022	Pass
2021-12-06-55-2	CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing Machine	Daniel Smith, CT D11 - District 11 Materials Laboratory	01/07/2022	Daniel Smith	Yes	01/13/2022	Pass
2021-12-06-55-3	CTM 217-June 2011: Method of Test for Sand Equivalent	Daniel Smith, CT D11 - District 11 Materials Laboratory	01/07/2022	Daniel Smith	Yes	01/13/2022	Pass
2021-12-06-55-4	CTM 205-December 2010: Method of Test for Determining Percentage of Crushed Particles	Daniel Smith, CT D11 - District 11 Materials Laboratory	01/07/2022	Daniel Smith	Yes	01/13/2022	Pass
2021-12-06-55-5	CTM 229-June 2011: Method of Test for Durability Index	Daniel Smith, CT D11 - District 11 Materials Laboratory	01/07/2022	Daniel Smith	Yes	01/13/2022	Pass

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-12-06-55-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-12-06-55-2 CTM 211-May 2010 (Verified)
DIME Test ID: 2021-12-06-55-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-12-06-55-4 CTM 205-December 2010 (Verified)
DIME Test ID: 2021-12-06-55-5 CTM 229-June 2011 (Verified)