Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2022-02-14-59
Project Information
| Project Identifiers | Project ID: 214899 DEA: 033H4504 EFIS: 0318000001 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-33.8/34.2 |
| Award Date | 07/29/2020 |
| Closeout Date | 07/15/2025 |
| Work Description | CONSTRUCT RW, WIDEN RDWY, COLD PLANE AC PVMT, & HMA OVERLAY. |
| Location Description | EL DORADO COUNTY AT FRESH POND FROM 0.6 TO 0.2 MILE WEST OF FOREST ROAD/OUTER LIMITS LANE |
| QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
| Sample Taken Date | 02/14/2022 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 03/29/2022 |
| Sample type | Verification | A brief description of the sample | 3/4 HMA-A |
| The quantity of what the sample constitutes | Bags of Aggregate | From where was the sample collected | Source |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | O'Halloran |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Grantline | 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) | 91-34-0047 |
|---|---|---|---|
| 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 | Hot Bins | |
| 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 | ||
| Sublot number | 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: 2022-02-14-59-1 AASHTO T27-14 (Verified)
