Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2020-11-18-15

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 9999
DEA: 00000000
EFIS: 0000000000
COOP: 99999333399
MINOR: 333333
Permit Numbers: 555555 0400NRT0000
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 04/05/2013)

Sample Information

Sample Taken Date11/18/2020 Sample Unique Key15
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 testing11/20/2020
Sample typeAcceptance A brief description of the sampleRoadway base
The quantity of what the sample constitutes25 LBS From where was the sample collectedJob Site
First name of sampler or witnessed byJames Last name of sampler or witnessed bySample
Title of sampler Telephone number of sampler
Laboratory sample identification2020-11-23_RS1 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobert Scott Ready Mix 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)91-03-0027
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 collectedIn front of Translab
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number2 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-11-18-15-1CTM 217-June 2011: Method of Test for Sand EquivalentSeree YenjaiCT HQ - Sacramento Materials Management Branch Field Office11/23/2020Seree Yenjai
Yes
11/23/2020Tested in perfect condition
2020-11-18-15-2CTM 206-October 2011: Method of Test for Specific Gravity and Absorption of Coarse AggregateSeree YenjaiCT HQ - Sacramento Materials Management Branch Field Office11/23/2020Seree Yenjai
Yes
11/23/2020Test is great