Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-07-31-12
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Project Information
| Project Identifiers | Project ID: 994602 DEA: 09392004 EFIS: 0922000036 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-44.9/50.9,52.9/54.5 |
| Award Date | 04/27/2023 |
| Closeout Date | 12/22/2023 |
| Work Description | HOT MIX ASPHALT (TYPE-A), SHOULDER BACKING, AND STRIPING. |
| Location Description | INYO COUNTY NEAR LONE PINE FROM 1.3 MILES SOUTH OF COTTONWOOD ROAD TO 2 MILES NORTH OF BARTLETT ROAD AND FROM 0.3 MILE SOUTH OF LUBKEN CANYON ROAD TO 1.1 MILES SOUTH OF GOLF COURSE ROAD |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 07/31/2023 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 08/02/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 1/2" Agg. for use in HMA Type A |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Fred | Last name of sampler or witnessed by | Hartman |
| Title of sampler | Telephone number of sampler | 7609203898 | |
| Laboratory sample identification | CF 12, RAP 12 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Sully-Miller Blue Diamond Plant | 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) | 91-36-0022 |
|---|---|---|---|
| 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 | Belt Sampling Device at Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-07-31-12-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-07-31-12-2 AASHTO T176-08 (Verified)