Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2017-06-07-12

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS 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 Date06/07/2017 Sample Unique Key12
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 testing06/07/2017
Sample typeAcceptance A brief description of the sample19mm HMA A w 25percent rap
The quantity of what the sample constitutes16 boxs 17lb ea From where was the sample collectedManufacturer
First name of sampler or witnessed bytest Last name of sampler or witnessed bytest
Title of samplerConsultant Tester Telephone number of samplerUnknown
Laboratory sample identificationD76969 Linked DIME Sample IDD76969
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) NumberT101 C852340
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C852340 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeJob Mix Formula Partial Source Identification (SMARA or name of Pit)unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedLoader at plant
Where the material sample would have been placed if not sampledUnknown Superpave or Non-superpave MixSuperpave
HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-06-07-12-1AASHTO 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 PhongCT HQ - Sacramento Materials Management Branch Field Office08/10/2017David Phong
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-06-07-12-1 AASHTO T96-02r10