Sample Record

Owner Lab

  • CT D01 - Field Laboratory

DIME Sample ID 2018-02-20-33

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212852
DEA: 010H7604
EFIS: 0118000101
DIST-CO-RTE-PM01-MEN-101-33.0/42.0
Award Date10/10/2017
Closeout Date08/06/2020
Work DescriptionFire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal.
Location DescriptionNot set
QA Service Level1 (Verified on 01/26/2018)

Sample Information

Sample Taken Date02/20/2018 Sample Unique Key33
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 testing02/22/2018
Sample typeVerification A brief description of the samplevirgin aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed bya Last name of sampler or witnessed bye
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGranite Ukiah Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-23-0015::HARRIS QUARRY
The fabricator's/manufacturer's product name for the sample1060_1/2 HMA64-16R15LAS-SP The fabricator/manufacturer designation for the sample1060_1/2 HMA64-16R15LAS-SP
The plant numberUnknown A detailed description of where the material sample was collectedcoldfeed
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set JMF Verification ID JMF3513-2018-14
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-02-20-33-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Leif AyresCT D01 - Field Laboratory04/13/2018Leif Ayres
Yes
04/20/2018