Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-02-10-2

Project Information

Project IdentifiersProject ID: 209511
DEA: 080Q7403
EFIS: 0800020456
DIST-CO-RTE-PM08-SBD-15-15.4/30.8
Award Date10/29/2013
Closeout DateNot set
Work DescriptionDesign Build project provides pavement rehabilitation (including ramps) on I-15 near Cajon Pass, CA.
Location DescriptionOn I-15 from 0.4 mile north of Kenwood Avenue to 0.3 mile south of West Hesperia OH
QA Service Level1 (Verified on 04/03/2014)

Sample Information

Sample Taken Date02/10/2015 Sample Unique Key2
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 testing02/12/2015
Sample typeAnnual Source Testing A brief description of the sampleThree eighths inch rock
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byLopez
Title of samplerQC Manager Telephone number of samplerUnknown
Laboratory sample identification5017B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Redlands Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91 36 0068
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 Size3/8 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
2015-02-10-2-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNader RashidiCT - Southern Regional Laboratory02/17/2015Charles Mcdonald
No
Info
2015-02-10-2-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateFarzin FarahCT - Southern Regional Laboratory02/18/2015Charles Mcdonald
No
Info
2015-02-10-2-3CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineNader RashidiCT - Southern Regional Laboratory02/19/2015Charles Mcdonald
No
Info
2015-02-10-2-4CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateNemencio DaofCT - Southern Regional Laboratory03/27/2015Charles Mcdonald
No
Info
2015-02-10-2-5CTM 227-June 2012: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Danilo FerrerCT - Southern Regional Laboratory02/13/2015Charles Mcdonald
No
Info