Sample Record

DIME Sample ID 2023-04-04-36

Project Information

Project IdentifiersProject ID: 994513
DEA: 043Y0604
EFIS: 0423000193
DIST-CO-RTE-PM04-MRN-1-var/var
Award Date02/12/2023
Closeout Date03/11/2024
Work DescriptionPAVEMENT REPAIR
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Owner Lab

  • CT D04 - Richmond Field Laboratory

Sample Information

Sample Taken Date04/04/2023 Sample Unique Key36
Date that the sample was received by the laboratory/organization performing the testing04/05/2023 Sample typeQuality Assurance
A brief description of the sample3/4 HMA Type A The quantity of what the sample constitutes5 Bags
From where was the sample collectedManufacturer First name of sampler or witnessed byCasey
Last name of sampler or witnessed byFarington Title of samplerQC Technician
Telephone number of sampler7072285999 Laboratory sample identificationRich_23_094
Linked DIME Sample ID2023-04-07-3 The fabricator/manufacturer/facility nameBoDean Santa Rosa
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form1
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0032
The fabricator's/manufacturer's product name for the sample3/4 HMA Type A The fabricator/manufacturer designation for the sampleBatch plant bins
The plant number A detailed description of where the material sample was collectedBins 1, 2, 3, and 4
Where the material sample would have been placed if not sampledRoadway Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number5 Aggregate Mix Number700SPW16

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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