Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-07-31-4
Project Information
Project Identifiers | Project ID: 1000114 DEA: 060W8204 EFIS: 0617000304 |
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DIST-CO-RTE-PM | 06-KIN-41-28.4/R40.1 |
Award Date | 05/22/2024 |
Closeout Date | Not set |
Work Description | COLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G. |
Location Description | KINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION |
QA Service Level | 1 (Verified on 02/26/2024) |
Sample Information
Sample Taken Date | 07/31/2024 | Sample Unique Key | 4 |
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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 | 07/31/2024 |
Sample type | Acceptance | A brief description of the sample | 3/4 HMA CF |
The quantity of what the sample constitutes | 267 tons | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Jonathon | Last name of sampler or witnessed by | Chaney |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Granite Construction Company | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0005 |
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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 | Coldfeed Conveyor Belt | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | 3 | |
Sublot number | 15 | Aggregate Mix Number | 1466S |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |