Sample Record
Owner Lab
- CT D03 - North Region Materials Lab
DIME Sample ID 2021-04-01-26
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 |
---|---|
DIST-CO-RTE-PM | 03-YUB-70-15.5/16.5 |
Award Date | 07/31/2019 |
Closeout Date | Not set |
Work Description | SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055. |
Location Description | NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019. |
QA Service Level | 1 (Verified on 08/22/2019) |
Sample Information
Sample Taken Date | 04/01/2021 | Sample Unique Key | 26 |
---|---|---|---|
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 | 04/01/2021 |
Sample type | Verification | A brief description of the sample | RAP minus 1/2" |
The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Teichert Personnel (SAMPLER) | Last name of sampler or witnessed by | Brad McKeehan (WITNESS) |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | JMF21-020A | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert-Hallwood Drum Plant | Transportation Laboratory (TL) Number | C706328 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Not Applicable |
Material Information
Material Type | Reclaimed Asphalt Pavement | RAP Source | Teichert Hallwood, RAP Bin 1 |
---|---|---|---|
Aggregate Size | Aggregate Source | ||
RAP Stockpile | Static | Stockpile Size (tons) | Unknown |
JMF Verification ID | JMF3513-2021-49 |