Sample Record

Owner Lab

  • Knife River Construction

DIME Sample ID 2020-02-26-7

Project Information

Project IdentifiersProject ID: 214642
DEA: 031G6704
EFIS: 0319000117
DIST-CO-RTE-PM03---
Award Date03/17/2020
Closeout Date01/13/2021
Work DescriptionCOLD PLANE AC PAVEMENT AND RHMA-G OVERLAY.
Location DescriptionGLENN COUNTY NEAR WILLOWS FROM 2.3 MILES EAST OF NYE CREEK BRIDGE TO 0.2 MILE WEST OF ROUTE 162/5 SEPARATION
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date02/26/2020 Sample Unique Key7
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 testing02/27/2020
Sample typeQuality Control A brief description of the sample3/4" Aggregate
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byZack Last name of sampler or witnessed byMason
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKnife River Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-11-007
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedtesting for JMF Verification
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2020-171-22471004 Date Created04/01/2020
SubmittalN/A

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments