Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2018-07-11-15
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Project Information
| Project Identifiers | Project ID: 212497 DEA: 024E0204 EFIS: 0200020196 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-299-77.8/79.7 |
| Award Date | 02/01/2018 |
| Closeout Date | 08/14/2019 |
| Work Description | PULVERIZE AND RECONSTRUCT PAVEMENT, AND WIDEN WITH AB, HMA, & RHMA |
| Location Description | SHASTA COUNTY NEAR BURNEY FROM 0.2 MILE WEST OF SONOMA STREET TO 0.3 MILE WEST OF ROUTE 89 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 07/11/2018 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 08/09/2018 |
| Sample type | Per Request | A brief description of the sample | virgin Agg. 3/4 RHMA-G |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Ashton | Last name of sampler or witnessed by | CGI |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | D77535 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | na | Transportation Laboratory (TL) Number | C736695 |
| 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, name of Pit or Job Site) | 91-25-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-07-11-15-1 AASHTO T104-99r16 (Verified)