Sample Record

Owner Lab

  • CT D08 - Barstow Field Laboratory 1

DIME Sample ID 2022-08-28-6

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date08/28/2022 Sample Unique Key6
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 testing08/28/2022
Sample typeQuality Assurance A brief description of the sample1 x 4 PCC Aggregate and Sand
The quantity of what the sample constitutes3 bags From where was the sample collectedDistributor
First name of sampler or witnessed byQC Last name of sampler or witnessed bycemex
Title of samplerqc Telephone number of sampler
Laboratory sample identificationtest 1 80tons out at 1238 AM Linked DIME Sample ID
The fabricator/manufacturer/facility nameLANEsecurity paving 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, name of Pit or Job Site)91-36-0040
The fabricator's/manufacturer's product name for the sampleLANE SECURITY PAVING The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design number1610974 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-08-28-6-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)ANGEL TOLEDO, CT D08 - Barstow Field Laboratory 109/06/2022Minh Pham
Yes
09/07/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-08-28-6-1 AASHTO T27-14 (Verified)