Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2018-05-15-40
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212845 DEA: 023H1304 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-395-47.0/56.5 |
| Award Date | 12/22/2017 |
| Closeout Date | 01/09/2019 |
| Work Description | AC OVERLAY, REPLACE AC SURFACE, RUMBLE STRIP, GUARDRAIL |
| Location Description | LASSEN COUNTY AT AND NEAR JANESVILLE FROM 1.9 MILES SOUTH OF LAKECREST DRIVE TO 0.2 MILE NORTH OF SUNNYSIDE ROAD |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 05/15/2018 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 testing | 05/16/2018 |
| Sample type | Verification | A brief description of the sample | Treated Virgin 3/4-inch Type A Aggregate |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Lehti |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77394A | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hat Creek - Ward Lake | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | 91-18-0008::WARD LAKE PIT |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | 18-1278.96 |
| The plant number | Unknown | A detailed description of where the material sample was collected | Cold Feed |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | JMF 18-07-S1 | Lot number | Not set |
| Sublot number | Not set | JMF Verification ID | JMF3513-2018-30 |
| HMA Pay | No |