Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2019-05-29-38
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213728 DEA: 041K0104 EFIS: 0416000179 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-121-0.0-0.3,2.0-R4.5 |
| Award Date | 01/07/2019 |
| Closeout Date | 04/22/2020 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA-G. |
| Location Description | NAPA COUNTY IN AND NEAR NAPA FROM SONOMA COUNTY LINE TO 0.3 MILE NORTH OF SONOMA COUNTY LINE AND FROM DUHIG ROAD TO ROUTE 29 |
| QA Service Level | 1 (Verified on 02/28/2019) |
Sample Information
| Sample Taken Date | 05/29/2019 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 | 05/29/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" HMA+RAP SP-WMA |
| The quantity of what the sample constitutes | 200 tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Connors | Last name of sampler or witnessed by | Connors |
| Title of sampler | QC lab tech | Telephone number of sampler | 707-558-1516 |
| Laboratory sample identification | Con_19_098 | Linked DIME Sample ID | NA |
| The fabricator/manufacturer/facility name | SYAR Lake Herman Drum | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | 28-Napa |
| Structure name | NA | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-48-0002::LAKE HERMAN QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | NA | The fabricator/manufacturer designation for the sample | NA |
| The plant number | NA | A detailed description of where the material sample was collected | Sampling point at the plant |
| Where the material sample would have been placed if not sampled | Roadway | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 3111015-LD 0119 | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number | Not set |
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. | |||