Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2020-04-20-23
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214589 DEA: 020J1604 |
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DIST-CO-RTE-PM | 02-PLU-284-0.0/8.3 |
Award Date | 02/11/2020 |
Closeout Date | 10/06/2020 |
Work Description | PLACE HMA (TYPE A), PRECOATED AGGREGATE (SEAL COAT), HMA (LEVELING). |
Location Description | PLUMAS COUNTY NEAR CHILCOOT FROM ROUTE 70 TO 1 MILE NORTH OF LITTLE LAST CHANCE CREEK BRIDGE NUMBER 09-0072 |
QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
Sample Taken Date | 04/20/2020 | Sample Unique Key | 23 |
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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 | 04/21/2020 |
Sample type | Verification | A brief description of the sample | Fine RAP, 3/8-inch |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | CGI | Last name of sampler or witnessed by | CGI |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | D78408B | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Ward Lake Pit | Transportation Laboratory (TL) Number | 733182 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Reclaimed Asphalt Pavement | RAP Source | Ward Lake |
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Aggregate Size | 3/8-inch | Aggregate Source | Unknown |
RAP Stockpile | Stockpile Size (tons) | Unknown | |
JMF Verification ID | JMF3513-2020-138 |