Print Report | Back to Sample Detail

Sample Record for 2018-03-07-4

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_Last, SR_First

Sample Information

DIME Sample ID: 2018-03-07-4
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D01 - Field Laboratory
Sample Organization Contact: (707) 445-6373
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 03/07/2018
Date that the sample was received by the laboratory/organization performing the testing: 03/07/2018
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 1/2 in hma a wrap
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Ukiah

Material Information

Source Identification (SMARA or name of Pit): 91-23-0015
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: cold feed
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:
Sublot number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2018-03-07-4-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)03/28/2018Not scheduledLeif AyresCT D01 - Field Laboratory