Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2018-10-31-11

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212980
DEA: 010G6404
EFIS: 0117000034
DIST-CO-RTE-PM01-HUM-101-58.8/65.6
Award Date02/22/2018
Closeout Date12/07/2020
Work DescriptionRHMA-GAP GRADED (BWC), REMOVE CONCRETE, PLACE DIKE AND MGS
Location DescriptionHUMBOLDT COUNTY IN AND NEAR FORTUNA FROM 0.7 MILE SOUTH OF KENMAR ROAD UNDERCROSSING TO 0.4 MILE SOUTH OF LOLETA DRIVE OVERCROSSING
QA Service Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date10/31/2018 Sample Unique Key11
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 testing11/01/2018
Sample typeVerification A brief description of the samplecold feed
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byriley Last name of sampler or witnessed byMelvin
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameMercer Fraser B 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, name of Pit or Job Site)91-12-0002::SANDY PRAIRIE
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 collectedCold Feed
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 Aggregate Mix NumberNot set
HMA PayNo

JMF Information

HMA Design IDJMF3512-2018-61-18-1006.124-G Date Created11/07/2018
SubmittalN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-10-31-11-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Leif Ayres, CT D01 - District 1 Materials Laboratory11/07/2018Leif Ayres
Yes
11/07/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-10-31-11-1 AASHTO T27-14 (Verified)