Sample Record
Owner Lab
- CT D08 - Blythe Field Testing Laboratory
DIME Sample ID 2023-01-04-35
Project Information
Project Identifiers | Project ID: 215349 DEA: 081C0824 EFIS: 0816000087 |
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DIST-CO-RTE-PM | 08-RIV-10-R104.9/R134.2 |
Award Date | 03/24/2021 |
Closeout Date | Not set |
Work Description | PLACE HMA (TYPE A), JPCP AND IMPORTED BORROW. |
Location Description | RIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC |
QA Service Level | 1 (Verified on 03/01/2021) |
Sample Information
Sample Taken Date | 01/04/2023 | Sample Unique Key | 35 |
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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 testing | 01/06/2003 |
Sample type | Quality Assurance | A brief description of the sample | 1.5" MIX: 2102-OPT1 |
The quantity of what the sample constitutes | 42.0 CY | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | H. | Last name of sampler or witnessed by | Kain |
Title of sampler | QA | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Coffman Blythe | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Coffman Blythe |
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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 collected | Conveyor Belt at Plant | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
The concrete mix design number | 2102-OPT1 | Lot number | |
Sublot number | Aggregate Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2023-01-04-35-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Z. Abdelkhaliq, CT D08 - Blythe Field Testing Laboratory | 01/07/2023 | Benjamin Martinez | No | 1/2" Sieve not used. | Info | |
2023-01-04-35-2 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Z. Abdelkhaliq, CT D08 - Blythe Field Testing Laboratory | 01/07/2023 | Benjamin Martinez | No | 1/2" Sieve not used. | Info | |
2023-01-04-35-3 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Z. Abdelkhaliq, CT D08 - Blythe Field Testing Laboratory | 01/07/2023 | Benjamin Martinez | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-01-04-35-1 CTM 202-November 2011
DIME Test ID: 2023-01-04-35-2 CTM 202-November 2011
DIME Test ID: 2023-01-04-35-3 CTM 202-November 2011