Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2014-06-23-10004262

Project Information

Project IdentifiersProject ID: 208788
DEA: 080R6504
EFIS: 0812000132
DIST-CO-RTE-PM08-SBD-15,18,58,138-Var
Award Date06/12/2013
Closeout Date02/02/2015
Work DescriptionMETHACRYLATE,COLD PLANE AND PLACE HMA,REMOVE UNSOUND CONC,REPLC JNT SEAL
Location DescriptionSAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/16/2014)

Sample Information

Sample Taken Date06/23/2014 Sample Unique Key10004262
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/03/2014
Sample typeAcceptance A brief description of the sampleKwikbobond Top Sand
The quantity of what the sample constitutes1 Bag From where was the sample collectedOther
First name of sampler or witnessed byUnknown Last name of sampler or witnessed byUnknown
Title of samplerNot set Telephone number of samplerNot set
Laboratory sample identification4186B Linked DIME Sample IDNot set
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleNot set The fabricator/manufacturer designation for the sampleNot set
The plant numberNot set A detailed description of where the material sample was collectedUnknown
Where the material sample would have been placed if not sampledNot set Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2014-06-23-10004262-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesVincent OnohCT - Southern Regional Laboratory07/14/2014Vincent Onoh
Yes
02/20/2015
2014-06-23-10004262-2CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateNemencio DaofCT - Southern Regional Laboratory07/21/2014Nemencio Daof
Yes
02/20/2015