Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-03-21-4

Project Information

Project IdentifiersProject ID: 209950
DEA: 080N56U4
EFIS: 0813000176
DIST-CO-RTE-PM08-SBD-40-R94.7/R99.7
Award Date01/22/2015
Closeout Date09/17/2018
Work DescriptionBRIDGE REPLACEMENTS.
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT HALLER WASH BRIDGE AT ROJO WASH BRIDGE AND AT CLIPPER VALLEY WASH BRIDGE
QA Service Level1 (Verified on 04/29/2015)

Sample Information

Sample Taken Date03/21/2016 Sample Unique Key4
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 testing03/21/2016
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base
The quantity of what the sample constitutes2 Bags From where was the sample collectedJob Site
First name of sampler or witnessed byKennedy Last name of sampler or witnessed byEubany
Title of samplerMaterials Technician Telephone number of samplerUnknown
Laboratory sample identification6097B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCemex Bullhead City Transportation Laboratory (TL) NumberUnknown
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)Unknown
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 collectedSta 3466 25 Rte 40 EB Stockpile Rojo Clipper Br Section D Shoulder
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
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
2016-03-21-4-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSebastian FerrerCT - Southern Regional Laboratory03/23/2016Charles Mcdonald
No
Info
2016-03-21-4-2CTM 217-June 2011: Method of Test for Sand EquivalentJose GuzmanCT - Southern Regional Laboratory03/24/2016Charles Mcdonald
No
Info
2016-03-21-4-3CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerVincent OnohCT - Southern Regional Laboratory03/25/2016Charles Mcdonald
No
Info