Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2022-07-17-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993612 DEA: 112N1184 EFIS: 1121000147 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-78-60.3/66.4 |
| Award Date | 04/18/2022 |
| Closeout Date | 03/28/2023 |
| Work Description | COLD PLANE, RHMA-G OVERLAY, SHOULDER BACKING AND STRIPING. |
| Location Description | SAN DIEGO COUNTY NEAR JULIAN FROM WYNOLA ROAD TO 3.5 MILES WEST OF SAN FELIPE CREEK |
| QA Service Level | 1 (Verified on 03/07/2022) |
Sample Information
| Sample Taken Date | 07/17/2022 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 07/18/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1.5" HMA-A |
| The quantity of what the sample constitutes | 12 boxes, 6 bags, 3 cans | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | N/A | Last name of sampler or witnessed by | N/A |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vulcan CC | 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) | N/A |
|---|---|---|---|
| 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 | Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||