Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2024-09-08-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000251 DEA: 042Y5004 EFIS: 0423000122 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-221-0.2/1.7 |
| Award Date | 06/12/2024 |
| Closeout Date | 01/09/2025 |
| Work Description | COLD PLANE ASPHALT CONCRETE PAVEMENT AND OVERLAY WITH RHMA-G. |
| Location Description | NAPA COUNTY IN AND NEAR NAPA FROM 0.2 MILE NORTH OF JUNCTION ROUTE 12/29 TO 0.2 MILE NORTH OF BASALT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/03/2024) |
Sample Information
| Sample Taken Date | 09/08/2024 | 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 | 09/09/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" RHMA-G |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | John | Last name of sampler or witnessed by | Scroggins |
| Title of sampler | Plant qc | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Woodland Batch Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-57-0006 |
|---|---|---|---|
| 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 | Conveyer Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-08-15-1 AASHTO T27-14 (Verified)