Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-06-01-14

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212866
DEA: 021H9704
EFIS: 0216000051
DIST-CO-RTE-PM02-TEH-36-12.6/13.1
Award Date11/25/2019
Closeout Date10/06/2020
Work DescriptionCURVE REALIGNMENT AND HMA PAVING.
Location DescriptionTEHAMA COUNTY ABOUT 16 MILES EAST OF PLATINA FROM 2.3 MILES EAST TO 2.8 MILES EAST OF DRY CREEK BRIDGE
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date06/01/2020 Sample Unique Key14
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 testing06/02/2020
Sample typeInformational A brief description of the sampleRock Slop Protection
The quantity of what the sample constitutes1300cy From where was the sample collectedJob Site
First name of sampler or witnessed byJoel Last name of sampler or witnessed byGasik
Title of samplerRE Telephone number of sampler
Laboratory sample identificationD78450 Linked DIME Sample ID
The fabricator/manufacturer/facility nameNot Provided Transportation Laboratory (TL) Number002557
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)Not available
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 collectedSTA AS 36.00
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1-1/2 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
2020-06-01-14-1CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateTerry McCormicCT D02 - North Region Materials Lab06/04/2020Michael Antonetti
Yes
08/10/2020Container used for weighing in water is a basket, the weight is zeroed or tarred on the scale before weighing. The program will not let me enter zero for the mass of the container in water, so I used 0.1 gm from the sample weight + container.
2020-06-01-14-2CTM 229-June 2011: Method of Test for Durability IndexTerry McCormicCT D02 - North Region Materials Lab06/04/2020Michael Antonetti
Yes
08/10/2020