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 |
|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| Aggregate Size | 3/8-inch | Aggregate Source | Unknown |
| RAP Stockpile | Stockpile Size (tons) | Unknown | |
| JMF Verification ID | JMF3513-2020-138 |