Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-09-27-65
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215410 DEA: 060U5204 EFIS: 0616000003 |
---|---|
DIST-CO-RTE-PM | 06-MAD-99-R14.0/R14.5,15.1/19.6 |
Award Date | 04/01/2021 |
Closeout Date | 10/03/2022 |
Work Description | HMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING. |
Location Description | MADERA COUNTY IN AND NEAR MADERA FROM 0.2 MILE SOUTH OF AVENUE 17 OVERCROSSING TO 0.3 MILE NORTH OF AVENUE 17 OVERCROSSING AND FROM 1.0 MILE NORTH OF AVENUE 17 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 20 OVERCROSSING |
QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
Sample Taken Date | 09/27/2021 | Sample Unique Key | 65 |
---|---|---|---|
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 testing | 10/27/2021 |
Sample type | Dispute Resolution | A brief description of the sample | Dispute 3/4" HMA-A-SR R15 |
The quantity of what the sample constitutes | 1 Bag of Aggregate | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Thomas | Last name of sampler or witnessed by | S |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 5027 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan Madera | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0010, 91-10-0024 |
---|---|---|---|
The fabricator's/manufacturer's product name for the sample | 3/4 HMA-A-SP R15 | The fabricator/manufacturer designation for the sample | |
The plant number | 221532 | A detailed description of where the material sample was collected | Belt Cut at Vulcan Madera Plant |
Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | Lot number | 2 | |
Sublot number | 16 | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2021-09-27-65-1 AASHTO T27-14 (Verified)
DIME Test ID: 2021-09-27-65-2 CTM 202-November 2011 (Verified)