*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2020-05-31-10


Project Information

Project ID: 213970 DEA: 080K1214 EFIS: 0815000245 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-12.5/14.8
Work Description: REPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT.
Location Description: SAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING
Contractor Name: OHL USA, INC Contractor Address: 1920 MAIN STREET STE 310
Resident Engineer: Vu Thanh Nguyen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-05-31-10
TL Number from the TL Form: 1153
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Annual Source Testing
Type of Material: Aggregate
Sample Taken Date: 05/31/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2020
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification: 1153
Structure unique identifier:
Structure name:

Material Information

Source Identification (SMARA or name of Pit): 91-36-0146
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Robertson Rialto
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: fine
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown

Test Results

Test Information 4 of 5

DIME Test ID: 2020-05-31-10-9
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Verified Date: 06/29/2020
Date Tested: 06/17/2020
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St
Test General Comments: Solution Temperature=22.2 C
Additional Comments When Verified:
Number of tests 2
Sand equivalent after temperature correction 85