Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-06-07-15
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Project Information
| Project Identifiers | Project ID: 210946 DEA: 060T5904 EFIS: 0615000155 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-137;190-18.2/27.4;26.5/56.6 |
| Award Date | Not set |
| Closeout Date | 04/24/2018 |
| Work Description | PLACE POLYMER ASPHALTIC EMULSION (SEAL COAT). |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 10/04/2016) |
Sample Information
| Sample Taken Date | 06/07/2016 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 06/14/2016 |
| Sample type | Department Acceptance | A brief description of the sample | Sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | M | Last name of sampler or witnessed by | Ruiz |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16FPCC-0246 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Deer Creek | Transportation Laboratory (TL) Number | c983199 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-06-07-15-1 CTM 213-December 2012 (Verified)