Sample Record
Owner Lab
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2017-06-07-12
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Project Information
| Project Identifiers | Project ID: 99999 DEA: 0322222 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| QA Service Level | (Verified on 04/05/2013) |
Sample Information
| Sample Taken Date | 06/07/2017 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 06/07/2017 |
| Sample type | Department Acceptance | A brief description of the sample | 19mm HMA A w 25percent rap |
| The quantity of what the sample constitutes | 16 boxs 17lb ea | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | test | Last name of sampler or witnessed by | test |
| Title of sampler | Consultant Tester | Telephone number of sampler | Unknown |
| Laboratory sample identification | D76969 | Linked DIME Sample ID | D76969 |
| The fabricator/manufacturer/facility name | JF Shea Fawndale | Transportation Laboratory (TL) Number | T101 C852340 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | T101 C852340 | 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) | unknown |
|---|---|---|---|
| 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 | Loader at plant |
| Where the material sample would have been placed if not sampled | Unknown | Superpave or Non-superpave Mix | Superpave |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2017-06-07-12-1 | AASHTO T96-02r10: Standard Method of Test for Resistance to Degradation of Small-Size Coarse Aggregate by Abrasion and Impact in the Los Angeles Machine (Los Angeles Rattler) | David Phong, CT HQ - Sacramento Materials Management Branch Field Office | 08/10/2017 | David Phong | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-07-12-1 AASHTO T96-02r10