Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-07-26-67

Project Information

Project IdentifiersProject ID: 995048
DEA: 061E5604
EFIS: 0622000066
DIST-CO-RTE-PM06-FRE-198-21.2/22.7
Award Date01/05/2023
Closeout Date11/16/2023
Work DescriptionCold plane existing asphalt pavement and place RHMA.
Location DescriptionNot set
QA Service Level1 (Verified on 08/04/2023)

Sample Information

Sample Taken Date07/26/2023 Sample Unique Key67
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 testing07/27/2023
Sample typeDepartment Acceptance A brief description of the sample3/4 HMA cold feed
The quantity of what the sample constitutes750 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byArthur Last name of sampler or witnessed byMills
Title of samplerConsultant Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Coalinga 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)Granite Coalinga
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 collectedConveyor Belt
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 number1 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments