Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2018-01-01-16

Project Information

Project IdentifiersProject ID: 9999
DEA: 00000000
EFIS: 0000000000
COOP: 99999333399
MINOR: 333333
Permit Numbers: 555555 0400NRT0000
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 04/05/2013)

Sample Information

Sample Taken Date01/01/2018 Sample Unique Key16
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 testing02/02/2018
Sample typeQuality Control A brief description of the sampleBrief description of sample
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byJack Last name of sampler or witnessed byJones
Title of samplerField Technician Telephone number of sampler1-916-555-1212
Laboratory sample identificationSID1234 Linked DIME Sample ID2018-01-20-5
The fabricator/manufacturer/facility nameSource Name Transportation Laboratory (TL) NumberNot set
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Smara 1234
The fabricator's/manufacturer's product name for the sampleProduct Name The fabricator/manufacturer designation for the sampleDesignation
The plant numberPlant1234 A detailed description of where the material sample was collectedPlant Stockpile
Where the material sample would have been placed if not sampledSouthwest footing of the Lone Tree Canal abut Primary Aggregate Nominal Size1 inch
The concrete mix design numberMix1234 Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-01-01-16-1ASTM D2419-09: Standard Test Method for Sand Equivalent Value of Soils and Fine AggregateCynthia MooreCT HQ - Sacramento Materials Management Branch Field Office02/15/2018Thinh Nguyen
No
Publically viewable comments about the test Info