Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2021-06-29-41
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215360 DEA: 112N0454 EFIS: 1118000198 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-94-30.0/39.0 |
| Award Date | 02/18/2021 |
| Closeout Date | 08/02/2022 |
| Work Description | PLACING CHIP SEAL, SLURRY SEAL, SHOULDER BACKING AND STRIPING. |
| Location Description | SAN DIEGO COUNTY NEAR DULZURA AND BARRETT JUNCTION FROM 0.9 MILE EAST OF GRANDE CREEK BRIDGE TO ROUTE 188. |
| QA Service Level | 1 (Verified on 02/08/2021) |
Sample Information
| Sample Taken Date | 06/29/2021 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 07/30/2021 |
| Sample type | Quality Control | A brief description of the sample | Aggregate Type III for Slurry Seal |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Not Provided | Last name of sampler or witnessed by | Not Provided |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 3820-S | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Chandler | 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) | Chandler |
|---|---|---|---|
| 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 collected | Not Provided | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2021-06-29-41-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-06-29-41-4 CTM 202-November 2011 (Verified)