Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2017-04-28-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211733 DEA: 024E4204 EFIS: 0200020283 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,SIE-70,395-3.5/3.9,R0.0/R3.1,R0.0/R5.6 |
| Award Date | 12/14/2016 |
| Closeout Date | 12/12/2017 |
| Work Description | RHMA-GG,COLD PLANEAC,POLYESTER CONC OVERLAY,PCCAPPROACH SLABS,STRIPING |
| Location Description | LASSEN AND SIERRA COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/07/2017) |
Sample Information
| Sample Taken Date | 04/28/2017 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 04/28/2017 |
| Sample type | Department Acceptance | A brief description of the sample | 19mm virgin bin stockpiles |
| The quantity of what the sample constitutes | 13 bags 45lbs ea | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Terry | Last name of sampler or witnessed by | Schmitt |
| Title of sampler | TET | Telephone number of sampler | Unknown |
| Laboratory sample identification | D76904 17-02-S1 | Linked DIME Sample ID | D76904 17-02-S1 |
| The fabricator/manufacturer/facility name | SNC Mustang | Transportation Laboratory (TL) Number | T101 C847392 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | T101 C 847392 | 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 | 19mm Virgin agg bins | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||