Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2021-05-05-24

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215405
DEA: 032G1604
EFIS: 0320000235
DIST-CO-RTE-PM03-YOL-45-0.6/12.9
Award Date02/16/2021
Closeout Date06/30/2021
Work DescriptionCOLD PLANE AC PAVEMENT AND REPLACE WITH HOT MIX ASPHALT.
Location DescriptionYOLO COUNTY NEAR KNIGHTS LANDING FROM SYCAMORE SLOUGH BRIDGE TO YOLO COUNTY LINE ROAD
QA Service Level1 (Verified on 01/18/2021)

Sample Information

Sample Taken Date05/05/2021 Sample Unique Key24
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 testing05/07/2021
Sample typeQuality Assurance A brief description of the sample3/4 HMA
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed bySam Last name of sampler or witnessed byMosallem
Title of samplerTET Telephone number of sampler
Laboratory sample identification21-HMA-0089 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Hallwood Transportation Laboratory (TL) NumberC783799
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)NA
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 collectedHallwood plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number2
Sublot number10 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-05-24-1AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Bang NguyenCT HQ - Sacramento Aggregate Testing Laboratory05/17/2021Bang Nguyen
Yes
05/17/2021