Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2022-03-11-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211848 DEA: 112T2174 EFIS: 1116000131 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-R37.4 - R46.5 |
| Award Date | 12/22/2016 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave. |
| Location Description | IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 01/31/2017) |
Sample Information
| Sample Taken Date | 03/11/2022 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 03/11/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" HMA-A |
| The quantity of what the sample constitutes | 4 bags, 12 boxes, 3 cans | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Cristopher | Last name of sampler or witnessed by | Lawless |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CCA Lakeside | 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) | CCA Lakeside |
|---|---|---|---|
| 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 | Stock Pile | |
| 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: 2022-03-11-21-4 AASHTO T176-08 (Verified)