Sample Record

Owner Lab

  • CT D01 - Field Laboratory

DIME Sample ID 2021-10-26-23

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993322
DEA: 010L4204
EFIS: 0122000008
DIST-CO-RTE-PM01-MEN-101-4/6
Award DateNot set
Closeout DateNot set
Work DescriptionLandslide Repair near Commisky
Location DescriptionNot set
QA Service Level1 (Verified on 10/11/2021)

Sample Information

Sample Taken Date10/26/2021 Sample Unique Key23
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 testing10/27/2021
Sample typeAcceptance A brief description of the samplepea gravel
The quantity of what the sample constitutes1 bag From where was the sample collectedManufacturer
First name of sampler or witnessed byKen Last name of sampler or witnessed byPoulter
Title of sampler Telephone number of sampler
Laboratory sample identification21-205 Linked DIME Sample ID
The fabricator/manufacturer/facility nameShamrock Concrete Transportation Laboratory (TL) Number930512
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)unknown
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 collectedstockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-26-23-1CTM 211-May 2010: Abrasion of Coarse Aggregate by Use of the Los Angeles Abrasion Testing MachineLeif AyresCT D01 - Field Laboratory10/28/2021Leif Ayres
Yes
10/29/2021