Sample Record

Owner Lab

  • CT D08 - Blythe Field Testing Laboratory

DIME Sample ID 2023-05-24-54

Project Information

Project IdentifiersProject ID: 994068
DEA: 081C7204
EFIS: 0813000003
DIST-CO-RTE-PM08-SBD-15-R96.1/R124.3
Award Date08/02/2022
Closeout Date02/23/2024
Work DescriptionIMPORTED BORROW, SHOULDER BACKING, AND STRUCTURAL CONCRETE.
Location DescriptionSAN BERNARDINO ABOUT 22 MILES NORTHEAST OF BARSTOW AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF HARVARD ROAD OVERCROSSING TO 0.1 MILE NORTH OF RASOR ROAD OVERCROSSING
QA Service Level1 (Verified on 09/30/2022)

Sample Information

Sample Taken Date05/24/2023 Sample Unique Key54
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 testing05/24/2023
Sample typeQuality Assurance A brief description of the sample1.5" PCC AGRREGATE
The quantity of what the sample constitutes 3 Bags From where was the sample collectedFabricator
First name of sampler or witnessed byfrancisco Last name of sampler or witnessed byRuvaicaba
Title of samplerTET Telephone number of sampler
Laboratory sample identification05242023 TEST 01 20 CY OUT AT 0745 AM Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Barstow 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)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 numberSC590B38 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-24-54-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)francisco Ruvaicaba Jr., CT D08 - Blythe Field Testing Laboratory05/24/2023Minh Pham
Yes
06/05/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-05-24-54-1 AASHTO T27-14 (Verified)