Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2020-08-20-20
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214882 DEA: 022H9904 EFIS: 0217000045 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-51.6/52.2 |
| Award Date | 05/27/2020 |
| Closeout Date | 09/23/2020 |
| Work Description | ROADWAY EXCAVATION, AGGREGATE BASE & HOT MIX ASPHALT. |
| Location Description | SHASTA COUNTY NEAR VIOLA FROM 0.4 MILE EAST TO 1.1 MILES EAST OF BRIDGE CREEK ROAD |
| QA Service Level | 1 (Verified on 05/26/2020) |
Sample Information
| Sample Taken Date | 08/20/2020 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 08/20/2020 |
| Sample type | Acceptance | A brief description of the sample | 3/4" Class II AB |
| The quantity of what the sample constitutes | not provided | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JD | Last name of sampler or witnessed by | Atkinson |
| Title of sampler | Tester | Telephone number of sampler | |
| Laboratory sample identification | D78607 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | JF Shea | Transportation Laboratory (TL) Number | 897716 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | 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 collected | Windrow | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | HMA Design ID |