Sample Record
Owner Lab
- CT QAM - Sacramento Field Laboratory
DIME Sample ID 2017-12-13-1
Project Information
Project Identifiers | Project ID: 99999 DEA: 0322222 |
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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 | 12/13/2017 | Sample Unique Key | 1 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
Sample type | Quality Control | A brief description of the sample | 1 |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
First name of sampler or witnessed by | test | Last name of sampler or witnessed by | test |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | test | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA or name of Pit) | NA |
---|---|---|---|
The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
The plant number | A detailed description of where the material sample was collected | 1 | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
The concrete mix design number | Lot number | Not set | |
Sublot number | Not set | HMA Design ID | JMF3512-2017-4-test |
Test Card Drafts
Material Type | Test Method | Saved By | Date Saved | Actions |
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No drafts of tests saved for your Sample. |