Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-05-04-31
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Project Information
| Project Identifiers | Project ID: 214293 DEA: 060S4604 EFIS: 0615000038 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-99-R0.9/R5.0 |
| Award Date | 12/05/2019 |
| Closeout Date | 05/11/2023 |
| Work Description | REPLACE CONCRETE AND ASPHALT PAVEMENT. |
| Location Description | FRESNO COUNTY IN AND NEAR KINGSBURG AND SELMA FROM ROUTE 99/201 SEPARATION TO 0.3 MILE SOUTH OF SECOND STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 08/05/2019) |
Sample Information
| Sample Taken Date | 05/04/2021 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 10/13/2021 |
| Sample type | Dispute Resolution | A brief description of the sample | Cold Feed |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | na | Last name of sampler or witnessed by | na |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 21-HMA-0176 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CMI Fresno | Transportation Laboratory (TL) Number | c040331 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | --- |
|---|---|---|---|
| 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 | 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 | 3 | |
| Sublot number | 10 | 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: 2021-05-04-31-1 AASHTO T27-14 (Verified)