Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2020-06-18-38

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214571
DEA: 020J1104
EFIS: 0219000062
DIST-CO-RTE-PM02-PLU-70-33.1/42.1
Award Date02/07/2020
Closeout Date04/27/2021
Work DescriptionPLACE HMA & SHOULDER BACKING, & REMOVE & REPLACE PAVEMENT DELINEATION.
Location DescriptionPLUMAS COUNTY AT AND NEAR KEDDIE FROM INDIAN CREEK BRIDGE TO 0.3 MILE WEST OF SPANISH CREEK BRIDGE NO. 09-0018
QA Service Level1 (Verified on 01/22/2020)

Sample Information

Sample Taken Date06/18/2020 Sample Unique Key38
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 testing06/18/2020
Sample typeVerification A brief description of the sampleDust Sized Untreated Virgin Aggregate
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byPEI Last name of sampler or witnessed byJoe
Title of sampler Telephone number of sampler
Laboratory sample identificationD78488D Linked DIME Sample ID
The fabricator/manufacturer/facility nameSierra Cascade Aggregate and Asphalt Products Transportation Laboratory (TL) Number724738
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)91-32-0002
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 collectedSized Untreated Aggregate Stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/4 inch
The concrete mix design numberJMF 20-07-S2 Lot number
Sublot number JMF Verification ID JMF3513-2020-207

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-18-38-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Arthur MillsCT D02 - North Region Materials Lab10/02/2020Ward Jenkins
Yes
10/05/2020