Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-05-28-22

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215252
DEA: 021J4704
EFIS: 0220000082
DIST-CO-RTE-PM02-TRI-3-46.7/49.8,63.8/67.704
Award Date12/18/2020
Closeout Date09/30/2021
Work DescriptionHMA OVERLAY, REPLACE AC SURFACING AND SHOULDER BACKING.
Location DescriptionTRINITY COUNTY NEAR TRINITY CENTER FROM 0.7 MILE NORTH OF CEDAR STOCK ROAD TO DIENER MINE VIADUCT AND FROM 2.3 MILES NORTH OF EL DORADO WAY TO COFFEE CREEK BRIDGE NO. 05-0060
QA Service Level1 (Verified on 10/30/2020)

Sample Information

Sample Taken Date05/28/2021 Sample Unique Key22
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 testing05/28/2021
Sample typeAcceptance A brief description of the sampleShoulder Backing
The quantity of what the sample constitutes 3 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byJohn Last name of sampler or witnessed byCarmichael
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD78814 Linked DIME Sample ID
The fabricator/manufacturer/facility nameEagle Rock Inc, Junction City Transportation Laboratory (TL) Number779361
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)91-23-0001
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStock Pile at Eagle Rock Inc
Where the material sample would have been placed if not sampled02 TRI 3 PM 46 to 50 Primary Aggregate Nominal Size1 inch
The concrete mix design numberNot Applicable Lot numberUnknown
Sublot numberUnknown HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-28-22-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormickCT D02 - North Region Materials Lab06/01/2021Darrell Valasek
Yes
08/10/2021
2021-05-28-22-2CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)Terry McCormickCT D02 - North Region Materials Lab06/09/2021Darrell Valasek
Yes
08/10/2021
2021-05-28-22-4CTM 217-June 2011: Method of Test for Sand EquivalentKaren DoradoCT D02 - North Region Materials Lab06/01/2021Darrell Valasek
Yes
08/10/2021
2021-05-28-22-5CTM 229-June 2011: Method of Test for Durability IndexColt SweenyCT D02 - North Region Materials Lab06/01/2021Darrell Valasek
Yes
08/10/2021
2021-05-28-22-6CTM 301-March 2000: Method of Test for Determining the Resistance "R"; Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerTerry McCormickCT D02 - North Region Materials Lab06/03/2021Darrell Valasek
Yes
08/10/2021
2021-05-28-22-8CTM 205-December 2010: Method of Test for Determining Percentage of Crushed ParticlesTerry McCormickCT D02 - North Region Materials Lab06/02/2021Darrell Valasek
Yes
08/10/202194% of coarse aggregate is crushed with at least two faces. Percentage of crushed fine aggregate was not determined.