Sample Record

Owner Labs

  • CT HQ - Sacramento Aggregate Testing Laboratory
  • CT - Southern Regional Laboratory

DIME Sample ID 2022-03-17-66

Project Information

Project IdentifiersProject ID: 66666
DEA: APP
EFIS: 0019000052
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for Aggregate Pre-approval Program (APP). Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/17/2022 Sample Unique Key66
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 testing04/07/2022
Sample typeAggregate Prequalification Program A brief description of the sample1 x 4 PCC Aggregate
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byAlbert Last name of sampler or witnessed bySegura
Title of samplerQuality Control Supervisor Telephone number of sampler9094368680
Laboratory sample identification1x4 Gravel Linked DIME Sample ID2022-03-17-34
The fabricator/manufacturer/facility nameCemex Moorpark 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)91-56-0014
The fabricator's/manufacturer's product name for the sampleCemex Moorpark 1x4 The fabricator/manufacturer designation for the sampleCemex Moorpark 1x4
The plant number4425 A detailed description of where the material sample was collectedProduction Stockpile
Where the material sample would have been placed if not sampledReady Mix Concrete Primary Aggregate Nominal Size1 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
2022-03-17-66-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesRobert JarquinCT - Southern Regional Laboratory04/19/2022Amir Behjati
Yes
05/13/2022
2022-03-17-66-6CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateAmir BehjatiCT - Southern Regional Laboratory04/20/2022Amir Behjati
Yes
05/13/2022
2022-03-17-66-7CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineLarry DiazCT - Southern Regional Laboratory04/22/2022Amir Behjati
Yes
05/13/2022
2022-03-17-66-8CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateSatish JainCT - Southern Regional Laboratory05/11/2022Amir Behjati
Yes
05/13/2022
2022-03-17-66-9CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Robert JarquinCT - Southern Regional Laboratory04/21/2022Amir Behjati
Yes
05/13/2022