Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2014-01-22-15109181

Project Information

Project IdentifiersProject ID: 7051
DEA: 023E9304
DIST-CO-RTE-PM02-TRI,TRI-299-0.0/0.1,64.0/72.2
Award Date04/11/2012
Closeout Date06/21/2013
Work DescriptionHMA THIN BLANKET OVERLAY WITH DIGOUTS
Location DescriptionSHASTA AND TRINITY COUNTIES AT AND NEAR DOUGLAS CITY FROM 0.5 MILE EAST OF LEWISTON ROAD TO 0.1 MILE EAST OF SHASTA COUNTY LINE
QA Service Level1 (Verified on 03/29/2012)

Sample Information

Sample Taken Date01/22/2014 Sample Unique Key15109181
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 testing01/22/2014
Sample typePer Request A brief description of the sampleType A aggregate extracted by ignition
The quantity of what the sample constitutes4 Cores From where was the sample collectedOther
First name of sampler or witnessed byTerry Last name of sampler or witnessed byMcCormick
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationD75699 Linked DIME Sample ID0
The fabricator/manufacturer/facility nameIn Place FMFC HMA 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)Tullis - Northstate Asphalt
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 collectedTRI 299 pm 68
Where the material sample would have been placed if not sampledUnknown 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
2014-01-22-15109181-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTerry McCormickCT D02 - North Region Materials Lab02/04/2014Terry McCormick
Yes
11/03/2014