Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-06-08-44

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214589
DEA: 020J1604
DIST-CO-RTE-PM02-PLU-284-0.0/8.3
Award Date02/11/2020
Closeout Date10/06/2020
Work DescriptionPLACE HMA (TYPE A), PRECOATED AGGREGATE (SEAL COAT), HMA (LEVELING).
Location DescriptionPLUMAS COUNTY NEAR CHILCOOT FROM ROUTE 70 TO 1 MILE NORTH OF LITTLE LAST CHANCE CREEK BRIDGE NUMBER 09-0072
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date06/08/2020 Sample Unique Key44
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 testing06/09/2020
Sample typeVerification A brief description of the sample3/4-inch Type A Treated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification and PSE From where was the sample collectedManufacturer
First name of sampler or witnessed byCGI Last name of sampler or witnessed byCGI
Title of sampler Telephone number of sampler
Laboratory sample identificationD78460A Linked DIME Sample ID
The fabricator/manufacturer/facility nameWard Lake Plant, Litchfield, CA Transportation Laboratory (TL) Number896981
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)91-18-0008
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 collectedCold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 20-03-S4 Lot number1
Sublot number1 JMF Verification ID JMF3513-2020-192

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-08-44-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)C. Sweeny and T. McCormickCT D02 - North Region Materials Lab06/10/2020Ward Jenkins
Yes
08/25/2020