Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-04-12-42
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215405 DEA: 032G1604 EFIS: 0320000235 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-45-0.6/12.9 |
| Award Date | 02/16/2021 |
| Closeout Date | 06/30/2021 |
| Work Description | COLD PLANE AC PAVEMENT AND REPLACE WITH HOT MIX ASPHALT. |
| Location Description | YOLO COUNTY NEAR KNIGHTS LANDING FROM SYCAMORE SLOUGH BRIDGE TO YOLO COUNTY LINE ROAD |
| QA Service Level | 1 (Verified on 01/18/2021) |
Sample Information
| Sample Taken Date | 04/12/2021 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 04/15/2021 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Mosallem |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 21-HMA-0066 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Hallwood | Transportation Laboratory (TL) Number | C783789 |
| 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) | NA |
|---|---|---|---|
| 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 | Hallwood plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 1 | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-04-12-42-1 AASHTO T176-08 (Verified)
