Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-05-18-13
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 211872 DEA: 022H3604 EFIS: 0216000090 |
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DIST-CO-RTE-PM | 02-SHA-5-1.8/R6.5 |
Award Date | 01/08/2017 |
Closeout Date | 12/22/2020 |
Work Description | COLD PLANE AC,RHMA-O,HMA,REPLACE AC SURFACING,GUARDRAILING,STRIPING |
Location Description | SHASTA COUNTY IN AND NEAR ANDERSON AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF NORTH COTTONWOOD UNDERCROSSING TO 0.2 MILE SOUTH OF RIVERSIDE AVENUE OVERCROSSING |
QA Service Level | 1 (Verified on 04/06/2017) |
Sample Information
Sample Taken Date | 05/18/2017 | Sample Unique Key | 13 |
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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 | 05/18/2017 |
Sample type | Verification | A brief description of the sample | Sized, Untreated, Virgin Aggregates |
The quantity of what the sample constitutes | JMF Verification | 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 | D76940, 17-0216 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Fawndale Rock Quarry | Transportation Laboratory (TL) Number | 002254 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Job Mix Formula Partial | Source Identification (SMARA, name of Pit or Job Site) | SMARA ID No. 91-45-0017 |
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The fabricator's/manufacturer's product name for the sample | 3/4 inch Type A HMA | The fabricator/manufacturer designation for the sample | 17dash1001dot290 |
The plant number | Unknown | A detailed description of where the material sample was collected | Stockpiles |
Where the material sample would have been placed if not sampled | Unknown | Superpave or Non-superpave Mix | Superpave |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-05-18-13-2 AASHTO T104-11 (Verified)