Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2019-05-23-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211775
DEA: 024E6504
EFIS: 0212000012
DIST-CO-RTE-PM02-SIS-96-R52.5/88.4
Award Date07/10/2017
Closeout Date01/05/2021
Work DescriptionWIDEN BRIDGES,POLYESTER CONC OVERLAY,COLD PLANE AC PVMT,HMA,GUARDRAIL
Location DescriptionSISKIYOU COUNTY NEAR SEIAD VALLEY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF THOMPSON CREEK BRIDGE TO 0.2 MILE EAST OF BEAVER CREEK BRIDGE
QA Service Level1 (Verified on 08/23/2017)

Sample Information

Sample Taken Date05/23/2019 Sample Unique Key17
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 testing05/23/2019
Sample typeVerification A brief description of the sampleTreated Virgin 3/4-inch Type A Aggregate
The quantity of what the sample constitutesJMF Modification 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 identificationD77889A Linked DIME Sample ID
The fabricator/manufacturer/facility nameFawndale Rock and Asphalt Transportation Laboratory (TL) Number001377
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)91-45-0017::FAWNDALE ROCK QUARRY
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sample18-1001.305-23.6_
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 18-03-M2 Lot number0
Sublot number0 JMF Verification ID JMF3513-2019-71

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-05-23-17-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Colt SweenyCT D02 - North Region Materials Lab06/28/2019Ward Jenkins
Yes
06/28/2019