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 |
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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 |
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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 |
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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 |