Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-06-10-43

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214685
DEA: 024E46U4
EFIS: 0216000122
DIST-CO-RTE-PM02-LAS-36-6.0/14.6
Award Date05/08/2020
Closeout DateNot set
Work DescriptionREPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK.
Location DescriptionLASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date06/10/2020 Sample Unique Key43
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 testing06/11/2020
Sample typeVerification A brief description of the sample3/4-inch Type A Treated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byCGI Last name of sampler or witnessed byCGI
Title of sampler Telephone number of sampler
Laboratory sample identificationD78467A Linked DIME Sample ID
The fabricator/manufacturer/facility nameWard Lake Pit Transportation Laboratory (TL) Number896984
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 20-08-S1 Lot number
Sublot number JMF Verification ID JMF3513-2020-198

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-10-43-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Arthur MillsCT D02 - North Region Materials Lab06/12/2020Ward Jenkins
Yes
09/03/2020