Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-04-29-22

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213720
DEA: 024H2004
EFIS: 0218000094
DIST-CO-RTE-PM02-SHA-89-26.3/29.2
Award Date12/19/2018
Closeout Date08/06/2019
Work DescriptionPAVEMENT OVERLAY
Location DescriptionSHASTA COUNTY ABOUT 10 MILES NORTH OF BURNEY FROM 0.3 MILE NORTH OF CLARK CREEK ROAD TO LAKE BRITTON BRIDGE
QA Service Level1 (Verified on 01/04/2019)

Sample Information

Sample Taken Date04/29/2019 Sample Unique Key22
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 testing04/30/2019
Sample typeVerification A brief description of the sampleTreated 1/2-inch Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD77859A Linked DIME Sample ID
The fabricator/manufacturer/facility nameShaw Pit Facility Transportation Laboratory (TL) Number827787
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-25-0008::SHAW PIT
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sample19-1278.105B
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 numberJMF 19-05-S2 Lot number0
Sublot number0 JMF Verification ID JMF3513-2019-65

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-04-29-22-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Terry McCormickCT D02 - North Region Materials Lab04/30/2019Ward Jenkins
Yes
05/31/2019