Sample Record

Owner Lab

  • CT D08 - Barstow Field Testing Laboratory

DIME Sample ID 2021-06-09-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214885
DEA: 080K1234
EFIS: 0815000242
DIST-CO-RTE-PM08---
Award Date06/03/2020
Closeout Date04/08/2022
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date06/09/2021 Sample Unique Key4
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 testing06/10/2021
Sample typeQuality Assurance A brief description of the sample3/4' rhma-g
The quantity of what the sample constitutes1 bag From where was the sample collectedSupplier
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identificationL1-SL135 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSully Miller Transportation Laboratory (TL) Number
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)91-36-0046
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 collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number300072-LSM-LC Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-09-4-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Larry FranciscoCT D08 - Barstow Field Testing Laboratory06/10/2021Minh Pham
Yes
06/11/2021