Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2021-05-05-23
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215405 DEA: 032G1604 EFIS: 0320000235 |
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DIST-CO-RTE-PM | 03-YOL-45-0.6/12.9 |
Award Date | 02/16/2021 |
Closeout Date | 06/30/2021 |
Work Description | COLD PLANE AC PAVEMENT AND REPLACE WITH HOT MIX ASPHALT. |
Location Description | YOLO COUNTY NEAR KNIGHTS LANDING FROM SYCAMORE SLOUGH BRIDGE TO YOLO COUNTY LINE ROAD |
QA Service Level | 1 (Verified on 01/18/2021) |
Sample Information
Sample Taken Date | 05/05/2021 | Sample Unique Key | 23 |
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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 | 05/07/2021 |
Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Mosallem |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 21-HMA-0088 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert Hallwood | Transportation Laboratory (TL) Number | C783799 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | NA |
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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 collected | Hallwood plant | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | 2 | |
Sublot number | 7 | 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: 2021-05-05-23-1 AASHTO T176-08 (Verified)