Sample Record

Owner Lab

  • CT D05 - Field Laboratory

DIME Sample ID 2020-09-09-21

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214731
DEA: 051M0004
EFIS: 0519000047
DIST-CO-RTE-PM05-SLO-101-16.5/R21.5
Award Date04/22/2020
Closeout Date08/23/2021
Work DescriptionCOLD PLANE AND RHMA-GAP GRADED OVERLAY ON EXISTING ROADWAY.
Location DescriptionSAN LUIS OBISPO COUNTY IN AND NEAR PISMO BEACH FROM 0.1 MILE SOUTH OF PRICE CANYON ROAD TO SAN LUIS CREEK BRIDGE
QA Service Level1 (Verified on 05/29/2020)

Sample Information

Sample Taken Date09/09/2020 Sample Unique Key21
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 testing09/10/2020
Sample typeAcceptance A brief description of the sampleBags of Shoulder Backing
The quantity of what the sample constitutesNot Given From where was the sample collectedJob Site
First name of sampler or witnessed byGabe Last name of sampler or witnessed byAlvarez
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD5 20-C-022 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRocky Canyon Transportation Laboratory (TL) Number
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)91-40-0013
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 collectedJob Site
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 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
2020-09-09-21-1CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesDaniel GingrasCT D05 - Field Laboratory09/11/2020Daniel Gingras
Yes
09/14/2020
2020-09-09-21-2CTM 212-May 2010: Method of Test for Unit Weight of AggregateDaniel GingrasCT D05 - Field Laboratory09/14/2020Daniel Gingras
Yes
09/14/2020
2020-09-09-21-3CTM 217-June 2011: Method of Test for Sand EquivalentDaniel GingrasCT D05 - Field Laboratory09/14/2020Daniel Gingras
Yes
09/14/2020
2020-09-09-21-4CTM 229-June 2011: Method of Test for Durability IndexDaniel GingrasCT D05 - Field Laboratory09/14/2020Daniel Gingras
Yes
09/14/2020
2020-09-09-21-5CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDaniel GingrasCT D05 - Field Laboratory09/14/2020Daniel Gingras
Yes
09/14/2020