Sample Record

Owner Lab

  • CT D01 - Field Laboratory

DIME Sample ID 2018-04-13-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212948
DEA: 010F8604
EFIS: 0116000075
DIST-CO-RTE-PM01-HUM,DN-101-R131.7/R137.2,M0.0/M0.1
Award Date02/22/2018
Closeout Date11/27/2018
Work DescriptionRHMA, COLD PLANE AND HMA AT RAMPS, REPLACE GUARDRAIL WITH MGS
Location DescriptionHUMBOLDT AND DEL NORTE COUNTIES NEAR ORICK FROM 2.5 MILES NORTH OF BOYES CREEK VIADUCT TO NORTH PRAIRIE CREEK UNDERCROSSING
QA Service Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date04/13/2018 Sample Unique Key3
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 testing04/16/2018
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 byKen Last name of sampler or witnessed bySutterfield
Title of samplerARE Telephone number of samplerUnknown
Laboratory sample identification61919 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameTidewater Smith River Transportation Laboratory (TL) Number972601
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)91-08-0002
The fabricator's/manufacturer's product name for the sample18-1454.09 The fabricator/manufacturer designation for the sample18-1454.09
The plant numberUnknown A detailed description of where the material sample was collectedcold feed
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 JMF3513-2018-15
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-04-13-3-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Leif AyresCT D01 - Field Laboratory04/19/2018Leif Ayres
Yes
04/26/2018