Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-07-27-4
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Project Information
| Project Identifiers | Project ID: 211118 DEA: 021H0404 EFIS: 0215000099 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-299-12.2/18.5 |
| Award Date | 03/15/2016 |
| Closeout Date | 09/05/2018 |
| Work Description | ASPHALT RUBBER SEAL COAT, PLACE HMA WITH REPLACE AC SURFACING |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/22/2016) |
Sample Information
| Sample Taken Date | 07/27/2016 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 08/22/2016 |
| Sample type | Verification | A brief description of the sample | 1/2 HMA Type A |
| The quantity of what the sample constitutes | sample as recieved | From where was the sample collected | Source |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Ortiz |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16FPCC-0319 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hogsback | Transportation Laboratory (TL) Number | c847796 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-25-0029 |
|---|---|---|---|
| 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 | untreated Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | 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: 2016-07-27-4-1 CTM 214-August 2010 (Verified)