Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-05-04-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 209899
DEA: 07242304
EFIS: 0700000419
COOP: 075002
DIST-CO-RTE-PM07-LA-101-31.6/32.2
Award DateNot set
Closeout Date08/13/2018
Work DescriptionLost Hills Road Overcrossing Replacement and Interchange Modification
Location DescriptionFROM 0.3 MILES SOUTH OF LOST HILLS ROAD OVERCROSSING TO 0.3 MILES NORTH OF LOST HILLS ROAD OVERCROSSING.
QA Service Level2 (Verified on 08/04/2014)

Sample Information

Sample Taken Date05/04/2016 Sample Unique Key12
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 testing05/13/2016
Sample typeAnnual Source Testing A brief description of the sampleWashed Concrete Sand
The quantity of what the sample constitutes4 Bags From where was the sample collectedDistributor
First name of sampler or witnessed byGary Last name of sampler or witnessed byBecker
Title of samplerTechnical Services Specialist Telephone number of samplerUnknown
Laboratory sample identification6170B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameNational Ready Mix Transportation Laboratory (TL) NumberC 16 01
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) Grimes Rock SMARA 91 56 0032
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 collectedNational Ready Mix Stockpiles
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
2016-05-04-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMD ShahjahanCT - Southern Regional Laboratory06/06/2016Charles Mcdonald
Yes
10/15/2019
2016-05-04-12-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateNemencio DaofCT - Southern Regional Laboratory06/06/2016Charles Mcdonald
Yes
10/15/2019
2016-05-04-12-3CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandNemencio DaofCT - Southern Regional Laboratory06/06/2016Charles Mcdonald
Yes
10/15/2019
2016-05-04-12-4CTM 217-June 2011: Method of Test for Sand EquivalentDanilo FerrerCT - Southern Regional Laboratory06/16/2016Charles Mcdonald
Yes
10/15/2019
2016-05-04-12-5CTM 229-June 2011: Method of Test for Durability IndexNemencio DaofCT - Southern Regional Laboratory06/10/2016Charles Mcdonald
Yes
10/15/2019