Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-04-14-39

Project Information

Project IdentifiersProject ID: 214492
DEA: 033F5404
EFIS: 0313000136
DIST-CO-RTE-PM03-SAC-99,160-4.5/5.7,R44.5
Award Date01/24/2020
Closeout DateNot set
Work DescriptionFURNISH PRECAST PRESTRESSED CONCRETE SLAB & PLACE STRUCTURAL CONCRETE.
Location DescriptionSACRAMENTO COUNTY NEAR GALT ON ROUTE 99 FROM NORTH OF MINGO ROAD TO SOUTH OF ARNO ROAD OVERCROSSING AND IN SACRAMENTO ON ROUTE 160 AT AMERICAN RIVER BRIDGE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date04/14/2020 Sample Unique Key39
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 testing04/24/2020
Sample typeVerification A brief description of the sampleRAP
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byWalt Last name of sampler or witnessed byWiley
Title of sampler Telephone number of sampler
Laboratory sample identificationD03 Sample Linked DIME Sample ID
The fabricator/manufacturer/facility namePerkins Plant Transportation Laboratory (TL) Number0034589
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourcePerkins
Aggregate Size Aggregate Source
RAP Stockpile Stockpile Size (tons)
JMF Verification ID JMF3513-2020-174

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.