Sample Record

Owner Lab

  • SCST, LLC.

DIME Sample ID 2013-07-19-2760

Project Information

Project IdentifiersProject ID: 8127
DEA: 080N5904
EFIS: 0800000533
DIST-CO-RTE-PM08-SBD-40-R85.2
Award Date02/07/2013
Closeout Date05/11/2015
Work DescriptionCONSTRUCT PC/PS BULB-TEE GIRDER BRIDGE
Location DescriptionSAN BERNARDINO COUNTY NEAR ESSEX AT VAN WINKLE WASH BRIDGE
QA Service Level1 (Verified on 12/10/2012)

Sample Information

Sample Taken Date07/19/2013 Sample Unique Key2760
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 testing07/19/2013
Sample typeQuality Control A brief description of the sample3/8 inch concrete aggregates
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byJared Last name of sampler or witnessed byTietjen
Title of samplerField Technician Telephone number of samplerNot set
Laboratory sample identificationNot set Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameHigh Grade Transportation Laboratory (TL) Number
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)3/8 inch concrete aggregates
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedHigh Grade Batch Plant
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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