Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-05-22-12

Project Information

Project IdentifiersProject ID: 212997
DEA: 023H2104
EFIS: 0217000070
DIST-CO-RTE-PM02-PLU-70,89-53.5/58.4,21.0/29.9
Award Date03/02/2018
Closeout Date01/09/2019
Work DescriptionAC OVERLAY, REPLACE AC SURFACE, GUARDRAIL, SHOULDER BACKING
Location DescriptionPLUMAS COUNTY ON ROUTE 70 FROM GREENHORN RANCH ROAD TO 0.2 MILE EAST OF SLOAT ROAD AND ON ROUTE 89 FROM 0.3 MILE SOUTH OF ALTA CAMP ROAD TO CANYON DAM PICNIC AREA
QA Service Level1 (Verified on 02/02/2018)

Sample Information

Sample Taken Date05/22/2018 Sample Unique Key12
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 testing05/23/2018
Sample typeVerification A brief description of the sampleJMF 3/8 cold feed and rap
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byCheryl Last name of sampler or witnessed byAbraham
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identificationD77412 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGranite Nevada Transportation Laboratory (TL) NumberT101 C894818
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C894818 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)unknown
The fabricator's/manufacturer's product name for the sampleJMF Cold feed and rap The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedAt the plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set JMF Verification ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-22-12-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab05/24/2018Terry McCormick
No
JMF, 3/8 Cold feed Info
2018-05-22-12-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab05/25/2018Terry McCormick
No
JMF, rap extraction grading. Info
2018-05-22-12-3AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Terry McCormickCT D02 - North Region Materials Lab05/26/2018Terry McCormick
No
JMF, rap rice. Info