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 Identifiers | Project ID: 212980 DEA: 010G6404 EFIS: 0117000034 |
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DIST-CO-RTE-PM | 01-HUM-101-58.8/65.6 |
Award Date | 02/22/2018 |
Closeout Date | 12/07/2020 |
Work Description | RHMA-GAP GRADED (BWC), REMOVE CONCRETE, PLACE DIKE AND MGS |
Location Description | HUMBOLDT 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 Level | 1 (Verified on 04/27/2018) |
Sample Information
Sample Taken Date | 10/31/2018 | Sample Unique Key | 11 |
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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 | 11/01/2018 |
Sample type | Verification | A brief description of the sample | cold feed |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | riley | Last name of sampler or witnessed by | Melvin |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Mercer Fraser B | 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, name of Pit or Job Site) | 91-12-0002::SANDY PRAIRIE |
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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 | Cold Feed |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
The concrete mix design number | Unknown | Lot number | Not set |
Sublot number | Not set | Aggregate Mix Number | Not set |
HMA Pay | No |
JMF Information
HMA Design ID | JMF3512-2018-61-18-1006.124-G | Date Created | 11/07/2018 |
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Submittal | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-10-31-11-1 AASHTO T27-14 (Verified)