Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2018-06-15-1

Project Information

Project IdentifiersProject ID: 213121
DEA: 09373504
EFIS: 0918000003
DIST-CO-RTE-PM09-MNO-395-93.7/106.3
Award Date04/24/2018
Closeout Date12/02/2019
Work DescriptionCONSTRUCT HOT MIX ASPHALT OVER COLD IN-PLACE RECYCLED PAVEMENT.
Location DescriptionMONO COUNTY NEAR WALKER FROM ROUTE 108 TO EASTSIDE LANE
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date06/15/2018 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the samplepulverized roadway
The quantity of what the sample constitutessqyd From where was the sample collectedJob Site
First name of sampler or witnessed bymike Last name of sampler or witnessed bySass
Title of samplerQA Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameroad and highway Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)N/A
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedSTA 1075
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot numberNot set
Sublot numberNot set Aggregate Mix NumberNot set
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments