Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-05-13-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212753
DEA: 020H7604
EFIS: 0215000086
DIST-CO-RTE-PM02-LAS,PLU-VAR-VAR
Award Date03/28/2019
Closeout Date09/02/2020
Work DescriptionFULL DEPTH RECLAMATION AND DRAINAGE REHABILITATION
Location DescriptionLASSEN 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 Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date05/13/2019 Sample Unique Key12
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 testing05/14/2019
Sample typeVerification A brief description of the sampleTreated Virgin 3/4-inch Type A Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byDerrick Last name of sampler or witnessed byCurry
Title of sampler Telephone number of sampler
Laboratory sample identificationD77884A Linked DIME Sample ID
The fabricator/manufacturer/facility nameWard Lake Plant Transportation Laboratory (TL) Number001351
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)91-18-0008::WARD LAKE PIT
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sample19-1278.106
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 Size3/4 inch
The concrete mix design numberJMF 19-10-S1 Lot number0
Sublot number0 JMF Verification ID JMF3513-2019-69

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-05-13-12-1THIS TEST HAS BEEN SUPERSEDED.
AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Arthur MillsCT D02 - North Region Materials Lab05/14/2019Ward Jenkins
Yes
06/19/2019THIS TEST HAS BEEN SUPERSEDED.
2019-05-13-12-2AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Arthur MillsCT D02 - North Region Materials Lab05/14/2019Ward Jenkins
Yes
06/20/2019