Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2020-07-01-43
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214685 DEA: 024E46U4 EFIS: 0216000122 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS-36-6.0/14.6 |
| Award Date | 05/08/2020 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE, ROADWAY EXCAVATION, HMA, CLASS 2 AB AND DRAINAGE WORK. |
| Location Description | LASSEN COUNTY NEAR WESTWOOD FROM 1.3 MILES WEST OF GOODRICH CREEK BRIDGE TO 1.0 MILE WEST OF WILLARD CREEK ROAD |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 07/01/2020 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | 07/02/2020 |
| Sample type | Verification | A brief description of the sample | Fine RAP (3/8-inch) |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Delgado |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78502B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Ward Lake Plant | Transportation Laboratory (TL) Number | 896802 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Ward Lake |
|---|---|---|---|
| Aggregate Size | 3/8-inch | Aggregate Source | |
| RAP Stockpile | Stockpile Size (tons) | ||
| JMF Verification ID | JMF3513-2020-212 |