Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-07-23-31

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213569
DEA: 024F2104
EFIS: 0212000072
DIST-CO-RTE-PM02-MOD-299-0.5/1.0
Award Date12/20/2018
Closeout DateNot set
Work DescriptionButte and Ash Creek Bridge Replacement
Location DescriptionConstruction of Butte Creek Bridge and Ash Creek Bridge on Route 299 at Adin
QA Service Level1 (Verified on 06/26/2019)

Sample Information

Sample Taken Date07/23/2020 Sample Unique Key31
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 testing07/27/2020
Sample typeAcceptance A brief description of the sampleShoulder Backing
The quantity of what the sample constitutesnot identified From where was the sample collectedSource
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78535 Linked DIME Sample ID
The fabricator/manufacturer/facility nameEagle Peak Rock and Paving, Alturas, CA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormT101 C 853441 Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-25-0029
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-23-31-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesArthur MillsCT D02 - North Region Materials Lab07/30/2020Michael Antonetti
Yes
08/18/2020
2020-07-23-31-2CTM 217-June 2011: Method of Test for Sand EquivalentArthur MillsCT D02 - North Region Materials Lab07/30/2020Michael Antonetti
Yes
08/18/2020
2020-07-23-31-3CTM 229-June 2011: Method of Test for Durability IndexArthur MillsCT D02 - North Region Materials Lab07/30/2020Michael Antonetti
Yes
08/18/2020