Sample Record

Owner Lab

  • CT D05 - Whitley Gardens Field Laboratory

DIME Sample ID 2023-07-28-19

Project Information

Project IdentifiersProject ID: 212246
DEA: 053307A4
EFIS: 0514000027
DIST-CO-RTE-PM05-SLO-46-49.7/54.6
Award DateNot set
Closeout DateNot set
Work DescriptionCholame Segment
Location DescriptionNot set
QA Service Level1 (Verified on 09/30/2019)

Sample Information

Sample Taken Date07/28/2023 Sample Unique Key19
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 testing07/28/2023
Sample typeQuality Assurance A brief description of the sample3/4 HMA Type A w/ 15% RAP and LAS
The quantity of what the sample constitutesLot 1 Sublot 13 - 750 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byKyle Last name of sampler or witnessed byEngen
Title of samplerTET Telephone number of sampler
Laboratory sample identification230728 L1SL13 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSPM- Avenal Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0006
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 collectedFrom plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number13 Aggregate Mix NumberL221154

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-07-28-19-3AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Matthew Lang, CT D05 - Whitley Gardens Field Laboratory07/28/2023Matthew Lang
Yes
07/31/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-07-28-19-3 AASHTO T27-14 (Verified)
File NameExtensionDate UploadedTest IDActions
05-3307A4_37059_230728_34HMA_Grad_SE_KEE_L1SL13pdf07/28/20232023-07-28-19-3   Info