Sample Record
Owner Lab
- CGI Technical Services, Incorporated
DIME Sample ID 2019-04-01-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212753 DEA: 020H7604 EFIS: 0215000086 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,PLU-VAR-VAR |
| Award Date | 03/28/2019 |
| Closeout Date | 09/02/2020 |
| Work Description | FULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION |
| Location Description | LASSEN AND PLUMAS COUNTIES AT AND NEAR CHILCOOT FROM 0.9 MILE WEST OF SUMMIT SCHOOL DRIVE TO 0.7 MILE EAST OF ROUTE 395 |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 04/01/2019 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 04/01/2019 |
| Sample type | Quality Control | A brief description of the sample | Hydrated Lime |
| The quantity of what the sample constitutes | production | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Ted | Last name of sampler or witnessed by | Kinsey |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | LHoist North America | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Antistrip Additive | Antistrip Type | Lime - hydrated lime |
|---|---|---|---|
| Antistrip Additive Mix Number | Not set |
JMF Information
| HMA Design ID | JMF3512-2019-98-19-1278.106 | Date Created | 05/08/2019 |
|---|---|---|---|
| Submittal | JMF3511-227-2019-85 Submittal Authorized For Use| JMF3513-2019-84 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||