Sample Record
Owner Lab
- CT QAM - Sacramento Field Laboratory
DIME Sample ID 2017-12-22-2
Sample is locked from editing. info
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 | 12/22/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 12/22/2017 |
| Sample type | Quality Control | A brief description of the sample | 1 2 in Aggregate Sample |
| The quantity of what the sample constitutes | Unknown Quantity | From where was the sample collected | Source |
| First name of sampler or witnessed by | Aggregate First Name | Last name of sampler or witnessed by | Aggregate Last Name |
| Title of sampler | Aggregate Engineer | Telephone number of sampler | 7753550420 |
| Laboratory sample identification | Aggregate Sample ID | Linked DIME Sample ID | Aggregate DIME Sample ID |
| The fabricator/manufacturer/facility name | SNC Mustang Pit Sparks NV | Transportation Laboratory (TL) Number | Aggregate TL Number |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Aggregate TL Form | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | Aggregate Source ID |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | SNC Mustang Pit Sparks NV | The fabricator/manufacturer designation for the sample | SNC Mustang Pit Sparks NV |
| The plant number | 99999 | A detailed description of where the material sample was collected | Coarse aggregate pile at source |
| Where the material sample would have been placed if not sampled | 7753550420 | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | HMA Design ID | JMF3512-2017-11 |