Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2019-10-29-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214136 DEA: 010F3604 EFIS: 0115000115 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-R39.2/R48.3 |
| Award Date | 07/31/2019 |
| Closeout Date | 01/04/2021 |
| Work Description | COLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION. |
| Location Description | HUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD |
| QA Service Level | 1 (Verified on 06/24/2019) |
Sample Information
| Sample Taken Date | 10/29/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 10/22/2019 |
| Sample type | Quality Assurance | A brief description of the sample | agg |
| The quantity of what the sample constitutes | JMF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | leif | Last name of sampler or witnessed by | ayres |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | mf B | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-12-0002 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | fine |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
JMF Information
| HMA Design ID | JMF3512-2019-135-test | Date Created | 10/29/2019 |
|---|---|---|---|
| Submittal | N/A |
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. | |||