Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2018-04-04-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212740 DEA: 010H7004 EFIS: 0118000075 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-14.9/15.3, 14.8/15.1, 14.8/15.4 |
| Award Date | 11/13/2017 |
| Closeout Date | 07/13/2021 |
| Work Description | Roadway stabilization & retaining wall repair |
| Location Description | In Del Norte County near Crescent City from 1.0 to 1.3 miles north of Rudsill Road |
| QA Service Level | 1 (Verified on 09/25/2017) |
Sample Information
| Sample Taken Date | 04/04/2018 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/13/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 0.5 HMA-A wRAP |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Sutterfield |
| Title of sampler | ARE | Telephone number of sampler | Unknown |
| Laboratory sample identification | 61918 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Tidewater Smith River | Transportation Laboratory (TL) Number | 928801 |
| 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, name of Pit or Job Site) | 91-08-0002::HUFFMAN BAR |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | L160721 | The fabricator/manufacturer designation for the sample | L160721 |
| 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 | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
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. | |||