Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2015-07-09-16

Project Information

Project IdentifiersProject ID: 208714
DEA: 08043514
EFIS: 0800000010
DIST-CO-RTE-PM08-SBD-58-R22.2/R31.1
Award Date12/30/2014
Closeout Date08/29/2018
Work DescriptionREALIGN AND WIDEN 2 TO 4 LANES EXPRESSWAY
Location DescriptionHINKLEY ROAD FROM 2.4 MILES WEST OF HIDDEN RIVER ROAD TO? 0.7 MILE EAST OF LENWOOD ROAD.
QA Service Level1 (Verified on 03/22/2013)

Sample Information

Sample Taken Date07/09/2015 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 testing07/21/2015
Sample typeAnnual Source Testing A brief description of the sampleWCS
The quantity of what the sample constitutes4 Bags From where was the sample collectedSource
First name of sampler or witnessed byTom Last name of sampler or witnessed byMilum
Title of samplerQC Technician Telephone number of samplerUnknown
Laboratory sample identification5172B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameRobertsons Barstow Quarry Transportation Laboratory (TL) NumberC15 000004
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)SMARA 91 36 0038
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpiles
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-07-09-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAli RehmanCT - Southern Regional Laboratory07/09/2015Charles Mcdonald
No
Info
2015-07-09-16-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory07/21/2015Charles Mcdonald
No
Info
2015-07-09-16-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNader RashidiCT - Southern Regional Laboratory08/01/2015Charles Mcdonald
No
Info
2015-07-09-16-4CTM 217-June 2011: Method of Test for Sand EquivalentFriday OfoegbuCT - Southern Regional Laboratory08/01/2015Charles Mcdonald
No
Info
2015-07-09-16-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory08/03/2015Charles Mcdonald
No
Info