Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-05-29-38

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214250
DEA: 021H3204
EFIS: 0215000126
DIST-CO-RTE-PM02-TEH-99-12.0/12.6
Award Date10/09/2019
Closeout DateNot set
Work DescriptionCONSTRUCT CURB RAMPS AND SIDEWALKS.
Location DescriptionTEHAMA COUNTY AT LOS MOLINOS FROM JOSEPHINE STREET TO LOS MOLINOS CREEK BRIDGE
QA Service Level1 (Verified on 07/22/2019)

Sample Information

Sample Taken Date05/29/2020 Sample Unique Key38
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 testing05/29/2020
Sample typeAcceptance A brief description of the sampleShoulder Backing
The quantity of what the sample constitutesnot provided From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler
Laboratory sample identificationD78449 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis Northstate Asphalt Transportation Laboratory (TL) Number853460
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)Tullis - Northstate Asphalt
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 collectedPlant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 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
2020-05-29-38-2CTM 212-May 2010: Method of Test for Unit Weight of AggregateTerry McCormicCT D02 - North Region Materials Lab05/30/2020Michael Antonetti
Yes
08/10/2020