Sample Record
Owner Lab
- CT D03 - North Region Materials Lab
DIME Sample ID 2020-07-06-40
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214801 DEA: 031G6504 EFIS: 0319000105 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-89-21.5/21.6,0.0/0.5 |
| Award Date | 05/07/2020 |
| Closeout Date | 03/16/2021 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE HMA (TYPE A). |
| Location Description | PLACER AND NEVADA COUNTIES IN AND NEAR TRUCKEE FROM WEST RIVER STREET TO 0.2 MILE NORTH OF DEERFIELD DRIVE |
| QA Service Level | 1 (Verified on 03/24/2020) |
Sample Information
| Sample Taken Date | 07/06/2020 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 07/07/2020 |
| Sample type | Verification | A brief description of the sample | 3/4 inch HMA - A w/RAP |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Randy | Last name of sampler or witnessed by | Stellhorn (WITNESS) |
| Title of sampler | Teichert Personnel | Telephone number of sampler | |
| Laboratory sample identification | JMF20-031 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert - Martis Valley Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Martis |
|---|---|---|---|
| Aggregate Size | Aggregate Source | ||
| RAP Stockpile | Static | Stockpile Size (tons) | |
| JMF Verification ID | JMF3513-2020-229 |