Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-07-24-26
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 88888 DEA: STOCK EFIS: STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 07/24/2017 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 07/24/2017 |
| Sample type | Preliminary | A brief description of the sample | Uncoated Unremediated recycled concrete aggregate |
| The quantity of what the sample constitutes | 3 Buckets | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jacquelyn | Last name of sampler or witnessed by | Wong |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17CPCC-0284 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Blue Planet Aggregate | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | 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 | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | HMA Design ID | |
| HMA Pay | No |