Sample Record

Owner Labs

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

DIME Sample ID 2022-02-09-58

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 Date02/09/2022 Sample Unique Key58
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 testing05/25/2022
Sample typeAggregate Prequalification Program A brief description of the sampleWCS
The quantity of what the sample constitutes4 buckets From where was the sample collectedSource
First name of sampler or witnessed byShon Last name of sampler or witnessed byFlores
Title of samplerLaboratory Technician Telephone number of sampler(323) 333-0084
Laboratory sample identification Linked DIME Sample ID2022-02-09-55
The fabricator/manufacturer/facility nameCoast Aggregates, Big Rock 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)91-19-0054
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
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
2022-02-09-58-6CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAntoni HernandezCT - Southern Regional Laboratory06/07/2022Amir Behjati
Yes
06/21/2022
2022-02-09-58-7CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateFriday OfoegbuCT - Southern Regional Laboratory06/09/2022Amir Behjati
Yes
06/21/2022
2022-02-09-58-8CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandSatish JainCT - Southern Regional Laboratory06/07/2022Amir Behjati
Yes
06/21/2022
2022-02-09-58-9CTM 217-June 2011: Method of Test for Sand EquivalentAngel ToledoCT - Southern Regional Laboratory06/09/2022Amir Behjati
Yes
06/21/2022
2022-02-09-58-10CTM 229-June 2011: Method of Test for Durability IndexZaid AbdelkhaliqCT - Southern Regional Laboratory06/17/2022Amir Behjati
Yes
06/21/2022