Sample Record

Owner Lab

  • CT D08 - Blythe Field Testing Laboratory

DIME Sample ID 2023-01-04-35

Project Information

Project IdentifiersProject ID: 215349
DEA: 081C0824
EFIS: 0816000087
DIST-CO-RTE-PM08-RIV-10-R104.9/R134.2
Award Date03/24/2021
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location DescriptionRIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
QA Service Level1 (Verified on 03/01/2021)

Sample Information

Sample Taken Date01/04/2023 Sample Unique Key35
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 testing01/06/2003
Sample typeQuality Assurance A brief description of the sample1.5" MIX: 2102-OPT1
The quantity of what the sample constitutes42.0 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byH. Last name of sampler or witnessed byKain
Title of samplerQA Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoffman Blythe 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)Coffman Blythe
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 at Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design number2102-OPT1 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-04-35-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesZ. Abdelkhaliq, CT D08 - Blythe Field Testing Laboratory01/07/2023Benjamin Martinez
No
1/2" Sieve not used. Info
2023-01-04-35-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesZ. Abdelkhaliq, CT D08 - Blythe Field Testing Laboratory01/07/2023Benjamin Martinez
No
1/2" Sieve not used. Info
2023-01-04-35-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesZ. Abdelkhaliq, CT D08 - Blythe Field Testing Laboratory01/07/2023Benjamin Martinez
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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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