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 IdentifiersProject ID: 211872
DEA: 022H3604
EFIS: 0216000090
DIST-CO-RTE-PM02-SHA-5-1.8/R6.5
Award Date01/08/2017
Closeout Date12/22/2020
Work DescriptionCOLD PLANE AC,RHMA-O,HMA,REPLACE AC SURFACING,GUARDRAILING,STRIPING
Location DescriptionSHASTA 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 Level1 (Verified on 04/06/2017)

Sample Information

Sample Taken Date05/18/2017 Sample Unique Key13
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 testing05/18/2017
Sample typeVerification A brief description of the sampleSized, Untreated, Virgin Aggregates
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byOrtiz
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identificationD76940, 17-0216 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameFawndale Rock Quarry Transportation Laboratory (TL) Number002254
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeJob Mix Formula Partial Source Identification (SMARA, name of Pit or Job Site)SMARA ID No. 91-45-0017
The fabricator's/manufacturer's product name for the sample3/4 inch Type A HMA The fabricator/manufacturer designation for the sample17dash1001dot290
The plant numberUnknown A detailed description of where the material sample was collectedStockpiles
Where the material sample would have been placed if not sampledUnknown Superpave or Non-superpave MixSuperpave

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-05-18-13-2AASHTO T104-11: Standard Method of Test for Soundness of Aggregate by Use of Sodium Sulfate or Magnesium Sulfate (Soundness)Benjamin Lenz, CT HQ - Sacramento Aggregate Testing Laboratory07/24/2017Benjamin Lenz
Yes
07/24/2017Coarse weighted average is 0.6% Fine weighted average is 3.1%

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-05-18-13-2 AASHTO T104-11 (Verified)