Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2020-10-29-10

Project Information

Project IdentifiersProject ID: 214690
DEA: 060W7104
DIST-CO-RTE-PM06-FRE-33-47.4/53.4,72.8/77.6
Award Date04/16/2020
Closeout Date04/21/2021
Work DescriptionCOLD IN-PLACE RECYCLING WITH HMA (TYPE A) OVERLAY.
Location DescriptionFRESNO COUNTY NEAR MENDOTA AND FIREBAUGH FROM MOUNTAIN VIEW AVENUE TO ADAMS AVENUE AND FROM DOUGLAS AVENUE TO FAIRFAX AVENUE
QA Service Level1 (Verified on 02/11/2020)

Sample Information

Sample Taken Date10/29/2020 Sample Unique Key10
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 testing11/06/2020
Sample typePer Request A brief description of the sampleL1 SL6 and L2 SL6
The quantity of what the sample constitutes2 bags From where was the sample collectedSource
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of sampler Telephone number of sampler
Laboratory sample identification20-HMA-0223 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSPM Ave Transportation Laboratory (TL) Numberna
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)na
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 collectedna
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 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
No results found.