Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2014-04-09-8842
Project Information
Project Identifiers | Project ID: 209055 DEA: 02360704 EFIS: 0200000262 |
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DIST-CO-RTE-PM | 02-SHA-299-30.3/40.7 |
Award Date | 11/05/2013 |
Closeout Date | 12/27/2016 |
Work Description | REPAIR ROADWAY WITH SUPERPAVE HMA OVER AB. |
Location Description | SHASTA COUNTY AT AND NEAR BELLA VISTA FROM 0.3 MILE EAST OF INTERMOUNTAIN ROAD TO 0.2 MILE WEST OF BACKBONE RIDGE ROAD |
QA Service Level | 1 (Verified on 11/19/2013) |
Sample Information
Sample Taken Date | 04/09/2014 | Sample Unique Key | 8842 |
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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 | 05/09/2014 |
Sample type | Annual Source Testing | A brief description of the sample | 3/4 HMA-SP Type A |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | D | Last name of sampler or witnessed by | Lockett |
Title of sampler | CGI Lab Manager | Telephone number of sampler | Not set |
Laboratory sample identification | 14ASPH-0230 C847781 | Linked DIME Sample ID | Not set |
The fabricator/manufacturer/facility name | Fawndale Rock Quarry / J.F. Shea | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0017 |
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The fabricator's/manufacturer's product name for the sample | 3/4 HMA | The fabricator/manufacturer designation for the sample | Not set |
The plant number | 91-45-0017 | A detailed description of where the material sample was collected | Stockpile |
Where the material sample would have been placed if not sampled | Not set | Primary Aggregate Nominal Size | |
The concrete mix design number | Lot number | Not set | |
Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2014-04-09-8842-1 CTM 214-August 2010 (Verified)
DIME Test ID: 2014-04-09-8842-2 CTM 214-August 2010 (Verified)