Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-08-24-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215483
DEA: 022J0004
EFIS: 0221000017
DIST-CO-RTE-PM02-PLU-49-0.0/7.5
Award Date04/05/2021
Closeout Date11/24/2021
Work DescriptionPLACE HOT MIX ASPHALT (TYPE A).
Location DescriptionPLUMAS COUNTY AT AND NEAR VINTON FROM SIERRA COUNTY LINE TO ROUTE 70
QA Service Level1 (Verified on 03/08/2021)

Sample Information

Sample Taken Date08/24/2021 Sample Unique Key17
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 testing08/25/2021
Sample typeAcceptance A brief description of the sample3/8 Inch lime treated Coldfeed
The quantity of what the sample constitutesPSE 1 Bag From where was the sample collectedManufacturer
First name of sampler or witnessed byJ. Last name of sampler or witnessed byDelgado
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD78927 Linked DIME Sample ID2021-08-24-19, 2021-08-24-44
The fabricator/manufacturer/facility nameWestern NV Materials, Spanish Springs Transportation Laboratory (TL) Number897852
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)Spanish Springs
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 collectedPlant
Where the material sample would have been placed if not sampled02 Plumas 49 Primary Aggregate Nominal Size1/2 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
2021-08-24-17-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Colt SweenyCT D02 - North Region Materials Lab08/26/2021Darrell Valasek
Yes
09/09/2021