Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-05-16-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994514 DEA: 043Y0504 EFIS: 0423000192 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-12112113-var/var |
| Award Date | 01/12/2023 |
| Closeout Date | 03/11/2024 |
| Work Description | PAVEMENT REPAIR |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 05/16/2023 | 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 | 05/16/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA Type A |
| The quantity of what the sample constitutes | 6 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Plant QC | Last name of sampler or witnessed by | Plant QC |
| Title of sampler | QC Technician | Telephone number of sampler | |
| Laboratory sample identification | Con_23_436 | Linked DIME Sample ID | 2023-05-15-47 |
| The fabricator/manufacturer/facility name | Granite Bradshaw Plant | Transportation Laboratory (TL) Number | C422-328 |
| 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) | 91-34-0060 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 HMA Type A | The fabricator/manufacturer designation for the sample | Drum Plant |
| The plant number | A detailed description of where the material sample was collected | coldfeed | |
| Where the material sample would have been placed if not sampled | Roadway | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | 1635V |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-16-31-1 AASHTO T27-14 (Verified)