Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2018-05-18-14

Project Information

Project IdentifiersProject ID: 212741
DEA: 020E1804
EFIS: 0200000022
DIST-CO-RTE-PM02-PLU-89-29.8/30.2
Award Date12/13/2017
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionPLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY
QA Service Level1 (Verified on 12/06/2017)

Sample Information

Sample Taken Date05/18/2018 Sample Unique Key14
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 testing05/21/2018
Sample typeAcceptance A brief description of the samplePSE 3/4 Cold feed and rap
The quantity of what the sample constitutesPSE 5 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byDerrick Last name of sampler or witnessed byCurry
Title of samplerCGI Telephone number of samplerUnknown
Laboratory sample identificationD77403 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDig-It Chester Transportation Laboratory (TL) NumberT101 C894775
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C894775 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 sample3/4 Cold feed and rap The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedPlant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set HMA Design ID
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-05-18-14-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab05/23/2018Terry McCormick
No
PSE, 3/4 cold feed. Info
2018-05-18-14-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab05/26/2018Terry McCormick
No
PSE, Rap extraction grading. Info
2018-05-18-14-3AASHTO 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 Lab05/25/2018Terry McCormick
No
PSE, rap rice. Info
2018-05-18-14-4AASHTO 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 Lab09/13/2018Terry McCormick
No
RE-DO ... PSE, 3/4 Cold feed and rap extraction grading Info
2018-05-18-14-5AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab09/12/2018Terry McCormick
No
RE-DO ... PSE, 3/4 Cold feed Info
2018-05-18-14-6AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab09/13/2018Terry McCormick
No
RE-DO ... PSE, Rap extraction grading Info