Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-04-20-15
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Project Information
| Project Identifiers | Project ID: 211083 DEA: 021H0304 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-161-9.0/15.0 |
| Award Date | 03/01/2016 |
| Closeout Date | 09/11/2017 |
| Work Description | COLD IN-PLACE RECYCLE |
| Location Description | IN SISKIYOU COUNTY ABOUT 6 MILESWEST OF TULELAKE FROM 2.2 MILES WEST TO 3.9 MILE EAST OF FUGATE ROAD. |
| QA Service Level | 1 (Verified on 11/30/2016) |
Sample Information
| Sample Taken Date | 04/20/2017 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 04/21/2017 |
| Sample type | Verification | A brief description of the sample | Untreated Virgin Aggregate |
| The quantity of what the sample constitutes | JMF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Contractor | Last name of sampler or witnessed by | CGI |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D76897, 17FPCC-0214 | Linked DIME Sample ID | 2017-04-20-11 |
| The fabricator/manufacturer/facility name | Hat Creek - Shaw Pit Facility | Transportation Laboratory (TL) Number | 847797B |
| 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) | 91-25-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1slash2dashinch Type A | The fabricator/manufacturer designation for the sample | 16dash1278point72 |
| 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 | Verification | Superpave or Non-superpave Mix | Superpave |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-04-20-15-1 AASHTO T104-11 (Verified)