Sample Record

Owner Lab

  • CT D03 - North Region Materials Lab

DIME Sample ID 2018-09-21-19

Project Information

Project IdentifiersProject ID: 213182
DEA: 030C4724
EFIS: 0314000272
DIST-CO-RTE-PM03-YOL-16-20.5/21.3, 28.2/31.8
Award Date06/19/2018
Closeout Date10/06/2021
Work DescriptionADD TURN LANES & ROUNDABOUT, ALIGN CURVE, WIDEN SHOULDER, CULVERT WORK
Location DescriptionYOLO COUNTY NEAR ESPARTO FROM 0.3 MILE WEST TO 0.4 MILE EAST OF COUNTY ROAD 79 AND FROM 0.1 MILE EAST OF PLAINFIELD STREET TO 0.1 MILE EAST OF COUNTY ROAD 90
QA Service Level1 (Verified on 07/26/2018)

Sample Information

Sample Taken Date09/21/2018 Sample Unique Key19
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 testing09/21/2018
Sample typeVerification A brief description of the sampleJMF Verification
The quantity of what the sample constitutesHot mixed asphalt From where was the sample collectedSource
First name of sampler or witnessed byWalter Last name of sampler or witnessed byWylie
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationJMF 18-031 Linked DIME Sample ID213182
The fabricator/manufacturer/facility nameVulcan, Madison Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-57-0008::SOLANO CONCRETE OFF-CHANNEL
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedHot Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set JMF Verification ID JMF3513-2018-37
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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