Sample Record
Owner Lab
- CT HQ - Hot Mix Asphalt Laboratory
DIME Sample ID 2019-11-15-17
Sample is locked from editing. info
Project Information
Project Identifiers | DEA: No Project |
---|---|
DIST-CO-RTE-PM | --- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project identifier for material not associated with a project |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 11/15/2019 | Sample Unique Key | 17 |
---|---|---|---|
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 | 11/15/2019 |
Sample type | Verification | A brief description of the sample | Virgin 1/2-inch Type A Aggregate |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Source |
First name of sampler or witnessed by | Adam | Last name of sampler or witnessed by | Zeither |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Vulcan Pleasanton | 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 or name of Pit) | 91-01-0010::CALMAT/PLEASANTON |
---|---|---|---|
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 | Hot Drop |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
The concrete mix design number | Unknown | Lot number | Unknown |
Sublot number | Unknown | JMF Verification ID | JMF3513-2019-80 |