Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-04-20-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214589
DEA: 020J1604
DIST-CO-RTE-PM02-PLU-284-0.0/8.3
Award Date02/11/2020
Closeout Date10/06/2020
Work DescriptionPLACE HMA (TYPE A), PRECOATED AGGREGATE (SEAL COAT), HMA (LEVELING).
Location DescriptionPLUMAS COUNTY NEAR CHILCOOT FROM ROUTE 70 TO 1 MILE NORTH OF LITTLE LAST CHANCE CREEK BRIDGE NUMBER 09-0072
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date04/20/2020 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 testing04/21/2020
Sample typeVerification A brief description of the sample3/4-inch Untreated Sized Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byJimmy Last name of sampler or witnessed byMontana
Title of sampler Telephone number of sampler
Laboratory sample identificationD78409A Linked DIME Sample ID
The fabricator/manufacturer/facility nameWard Lake Pit Transportation Laboratory (TL) Number733180
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)91-18-0008::WARD LAKE PIT
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 collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 20-03-S1a Lot numberUnknown
Sublot numberUnknown JMF Verification ID JMF3513-2020-138

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-20-17-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Dennis HickeyCT D02 - North Region Materials Lab04/22/2020Ward Jenkins
Yes
06/09/2020