Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2022-06-21-36

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212775
DEA: 024F2204
EFIS: 0212000073
DIST-CO-RTE-PM02-TRI-3-58.7/61.9
Award Date02/25/2021
Closeout DateNot set
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGE AND CULVERTS AND PLACE HMA.
Location DescriptionTRINITY COUNTY NEAR TRINITY CENTER FROM 58.7 MILES NORTH OF PREACHER MEADOWS ROAD TO 60.7 MILES SOUTH OF EL DORADO WAY
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date06/21/2022 Sample Unique Key36
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 testing06/21/2022
Sample typeAcceptance A brief description of the sample3 bags of 3/4-inch Class2 Aggregate Base
The quantity of what the sample constitutes500 cy per TL-0101 From where was the sample collectedJob Site
First name of sampler or witnessed byDave Last name of sampler or witnessed byLockett
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationD79061 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMoore's Pit Transportation Laboratory (TL) Number036758
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)Moores Pit
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 on site
Where the material sample would have been placed if not sampledRoadway Primary Aggregate Nominal Size3/4 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
2022-06-21-36-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKhue YangCT D02 - North Region Materials Lab06/23/2022Ward Jenkins
Yes
06/30/2022
2022-06-21-36-2CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the StabilometerArthur MillsCT D02 - North Region Materials Lab06/30/2022Ward Jenkins
Yes
06/30/2022