Sample Record
Owner Lab
- CT D06 - Visalia Field Laboratory
DIME Sample ID 2024-10-08-18
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 995005 DEA: 060X7004 EFIS: 0619000009 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-63-5.8/L8.0 |
| Award Date | 09/21/2023 |
| Closeout Date | Not set |
| Work Description | COLD PLANE PAVEMENT, PLACE RHMA-G, MODIFY LIGHTING AND SIGNAL SYSTEM. |
| Location Description | TULARE COUNTY IN VISALIA FROM 0.2 MILE SOUTH OF CALDWELL AVENUE TO ROUTE 63/198 SEPARATION |
| QA Service Level | 1 (Verified on 07/27/2023) |
Sample Information
| Sample Taken Date | 10/08/2024 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 testing | 10/09/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2 HMA Type A |
| The quantity of what the sample constitutes | 10 Box, 4 Bag, 2 Can | From where was the sample collected | Source |
| First name of sampler or witnessed by | Martika | Last name of sampler or witnessed by | Hall |
| Title of sampler | QA | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Deer Creek Rock and Aspahlt | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-54-0021 |
|---|---|---|---|
| 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 collected | HMA Plant Cold Feed | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 8 | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||