Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2014-01-30-12002050

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 Date01/30/2014 Sample Unique Key12002050
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 testing01/29/2014
Sample typeQuality Control A brief description of the sampleSample is
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byY Last name of sampler or witnessed byZ
Title of samplerSW Telephone number of sampler1-800-123-1234
Laboratory sample identificationSID1234 Linked DIME Sample ID2014-01-20-00000001
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 sampleProd Name The fabricator/manufacturer designation for the sampleDesig
The plant numberPlant1234 A detailed description of where the material sample was collectedFrom sheelbarrow
Where the material sample would have been placed if not sampledo 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
2014-01-30-12002050-1ASTM C117-04: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by WashingJames JamesCT HQ - Sacramento Materials Management Branch Field Office01/01/2014Thinh Nguyen
No
This test comments Info
2014-01-30-12002050-2ASTM C136-06: Standard Test Method for Sieve Analysis of Fine and Coarse AggregatesJames JamesCT HQ - Sacramento Materials Management Branch Field Office01/01/2014Thinh Nguyen
No
This test comments Info
2014-01-30-12002050-3ASTM C566-04: Standard Test Method for Total Evaporable Moisture Content of Aggregate by DryingJames JamesCT HQ - Sacramento Materials Management Branch Field Office01/01/2014Thinh Nguyen
No
This test comments Info
2014-01-30-12002050-4ASTM D2419-09: Standard Test Method for Sand Equivalent Value of Soils and Fine AggregateJames JamesCT HQ - Sacramento Materials Management Branch Field Office01/01/2014Thinh Nguyen
No
This test comments Info
2014-01-30-12002050-5ASTM C117-13: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by WashingJames JamesCT HQ - Sacramento Materials Management Branch Field Office01/01/2014Thinh Nguyen
No
This test comments Info
2014-01-30-12002050-6ASTM C566-13: Standard Test Method for Total Evaporable Moisture Content of Aggregate by DryingJames JamesCT HQ - Sacramento Materials Management Branch Field Office01/01/2014Thinh Nguyen
No
This test comments Info