Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2022-07-25-16
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215257 DEA: 11056374 EFIS: 1117000087 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-11-0.6/2.7 |
| Award Date | 02/16/2021 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT INTERCHANGE, PLACE JPCP, HMA, AND INSTALL LIGHTING. |
| Location Description | SAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 1.2 MILE EAST OF ENRICO FERMI DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 11/25/2020) |
Sample Information
| Sample Taken Date | 07/25/2022 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 07/26/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA PSU |
| The quantity of what the sample constitutes | 8 boxes, 3 bags | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Martin | Last name of sampler or witnessed by | Marietta |
| 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) | 91-37-0036 |
|---|---|---|---|
| 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 | 3/4 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. | |||