Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-08-13-35

Project Information

Project IdentifiersProject ID: 1000114
DEA: 060W8204
EFIS: 0617000304
DIST-CO-RTE-PM06-KIN-41-28.4/R40.1
Award Date05/22/2024
Closeout Date07/27/2026
Work DescriptionCOLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G.
Location DescriptionKINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION
QA Service Level1 (Verified on 02/26/2024)

Sample Information

Sample Taken Date08/13/2024 Sample Unique Key35
Date that the sample was received by the laboratory/organization performing the testing08/13/2024 Sample typeAcceptance
A brief description of the sample1/2 RHMA CF The quantity of what the sample constitutes1049 tons
From where was the sample collectedManufacturer First name of sampler or witnessed byJonathon
Last name of sampler or witnessed byChaney Title of samplerTET
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameGranite Construction Company
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0005
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 collectedColdfeed Conveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number5
Sublot number2 Aggregate Mix Number13436 s

Submitted Tests

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