Sample Record

Owner Lab

  • CT D08 - Barstow Field Laboratory 1

DIME Sample ID 2023-01-24-16

Project Information

Project IdentifiersProject ID: 214549
DEA: 081H2904
EFIS: 0817000006
DIST-CO-RTE-PM08-SBD-173-18.7
Award Date08/20/2020
Closeout DateNot set
Work DescriptionSTRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location DescriptionSAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
QA Service Level1 (Verified on 01/13/2020)

Sample Information

Sample Taken Date01/24/2023 Sample Unique Key16
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 testing01/24/2023
Sample typeQuality Assurance A brief description of the sample3/8" PCC Aggregate and Sand
The quantity of what the sample constitutes3 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byrobertsons Last name of sampler or witnessed byna
Title of samplerqc Telephone number of sampler
Laboratory sample identificationtest 18 and haft cy out at 0917am Linked DIME Sample ID
The fabricator/manufacturer/facility nameROBERTSON LAKE ARROWHEAD Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form6577 AND 6578 Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-36-0046
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 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 number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-24-16-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)tony price, CT D08 - Barstow Field Laboratory 101/24/2023Minh Pham
Yes
01/30/2023SIEVES #4 AND 3/8" ARE ANOVE OPERATING RANGE

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-01-24-16-1 AASHTO T27-14 (Verified)