Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2024-03-19-67
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994686 DEA: 051K4604 EFIS: 0518000210 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-29.7/32.2 |
| Award Date | 09/01/2023 |
| Closeout Date | 04/01/2025 |
| Work Description | COLD PLANE, PLACE HMA, RHMA, CONC PVMT, MODIFY SIGNAL AND LIGHTING. |
| Location Description | SAN LUIS OBISPO COUNTY IN PASO ROBLES FROM 300 FEET WEST OF ROUTE 101/46 SEPARATION TO 0.1 MILE EAST OF AIRPORT ROAD |
| QA Service Level | 1 (Verified on 04/18/2023) |
Sample Information
| Sample Taken Date | 03/19/2024 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 03/19/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" Aggregate w 15% RAP |
| The quantity of what the sample constitutes | 95T | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Austin | Last name of sampler or witnessed by | Kirby |
| Title of sampler | TET | Telephone number of sampler | 8312461166 |
| Laboratory sample identification | 2303191 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Sierra Pacific Materials Avenal | Transportation Laboratory (TL) Number | 417 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Lot 1 Sublot 3 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0006 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4" HMA-Rap | The fabricator/manufacturer designation for the sample | |
| The plant number | 39AC34ASA28 | A detailed description of where the material sample was collected | Conveyor Belt |
| Where the material sample would have been placed if not sampled | Roadway | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 3 | 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 |
|---|---|---|---|
| 05-1K4604_37000_240320_ACK_L1SL3_075_HMA_RAP | xlsx | 12/13/2024 | Info |