Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-04-19-79

Project Information

Project IdentifiersProject ID: 214986
DEA: 041J9704
EFIS: 0414000404
DIST-CO-RTE-PM04-SCL-17-2.8/13.94
Award DateNot set
Closeout DateNot set
Work DescriptionPAVING WITH RHMA, COLD PLANE AC, AND INSTALL CULVERT.
Location DescriptionSANTA CLARA COUNTY IN AND NEAR LOS GATOS, CAMPBELL AND SAN JOSE FROM HEBARD ROAD TO ROUTE 17/280 SEPARATION
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date04/19/2023 Sample Unique Key79
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 testing04/19/2023
Sample typeQuality Assurance A brief description of the sampleMIX:917 3/4" RHMA-G SP
The quantity of what the sample constitutes24 boxes HMA, 4 qts Oil, 5 BAGS BIN 1, 5 BAGS BIN 2, 5 BAGS BIN 3, 4 BAGS BIN 4 From where was the sample collectedManufacturer
First name of sampler or witnessed byJerrod Last name of sampler or witnessed byNaval
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGraniterock Aromas Batch plant Transportation Laboratory (TL) NumberTL-C927716
Inspector Lot Number from the Transportation Laboratory (TL) FormProduction startup Lot 1 sublot 102 Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-35-0012
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 collectedMaterial pulled from bin 1, 2, 3 AND 4
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 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
2023-04-19-79-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Charles Poolis, CT D04 - Concord Field Laboratory04/19/2023Charles Poolis
Yes
02/12/2024
2023-04-19-79-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Charles Poolis, CT D04 - Concord Field Laboratory04/19/2023Charles Poolis
Yes
02/12/2024BIN 4, BIN 3, BIN 2, BIN 1
2023-04-19-79-3AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Charles Poolis, CT D04 - Concord Field Laboratory04/19/2023Charles Poolis
Yes
02/12/2024production startup
2023-04-19-79-4AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Charles Poolis, CT D04 - Concord Field Laboratory04/19/2023Charles Poolis
Yes
02/12/2024LOT 1 Sublot 102 and 103. TL-0101: C927716 04/19/2023
2023-04-19-79-5AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Charles Poolis, CT D04 - Concord Field Laboratory04/19/2023Charles Poolis
Yes
02/12/2024LOT 1 SUBLOT 103
2023-04-19-79-6AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Charles Poolis, CT D04 - Concord Field Laboratory04/19/2023Charles Poolis
Yes
02/12/2024LOT1 SUBLOT 103

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-04-19-79-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-04-19-79-2 AASHTO T27-14 (Verified)
DIME Test ID: 2023-04-19-79-3 AASHTO T176-08 (Verified)
DIME Test ID: 2023-04-19-79-4 AASHTO T209-22 (Verified)
DIME Test ID: 2023-04-19-79-5 AASHTO T27-14 (Verified)
DIME Test ID: 2023-04-19-79-6 AASHTO T176-08 (Verified)