Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-12-08-33

Project Information

Project IdentifiersProject ID: 214438
DEA: 080G6914
EFIS: 0815000184
DIST-CO-RTE-PM08---
Award DateNot set
Closeout DateNot set
Work DescriptionRELINE OR REPLACE CULVERTS
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR SAN BERNARDINO FROM 48TH STREET TO ROUTE 18/138 SEPARATION
QA Service Level1 (Verified on 06/24/2021)

Sample Information

Sample Taken Date12/08/2022 Sample Unique Key33
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 testing12/16/2022
Sample typeVerification A brief description of the sample3/4" HMA-A-SP R12 0.75%LAS
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byMatich QC Last name of sampler or witnessed byMatich QC
Title of sampler Telephone number of sampler
Laboratory sample identification0780A-22 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMatich Plant Rialto 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 sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberLHP-62D Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-12-08-33-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Amir Behjati/ Zaid.A, CT D08 - Fontana Southern Regional Laboratory12/20/2022Satish Jain
Yes
01/17/2023Combined Virgin Aggregate Gradation
2022-12-08-33-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Amir Behjati, CT D08 - Fontana Southern Regional Laboratory12/17/2022Satish Jain
Yes
01/17/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2022-12-08-33-1 AASHTO T27-14 (Verified)
DIME Test ID: 2022-12-08-33-2 AASHTO T176-08 (Verified)