Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2022-08-04-28
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Project Information
| Project Identifiers | Project ID: 215591 DEA: 112N0724 EFIS: 1119000164 |
|---|---|
| DIST-CO-RTE-PM | 11-IMP-111-R0.1/R1.2 |
| Award Date | 05/27/2021 |
| Closeout Date | 07/27/2023 |
| Work Description | COLD PLANE, PLACE STRESS ABSORBING MEMBRANE INTERLAYER AND RHMA. |
| Location Description | IMPERIAL COUNTY IN CALEXICO FROM 0.1 MILE NORTH OF MEXICO BORDER TO ROUTE 98. |
| QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
| Sample Taken Date | 08/04/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 08/05/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1.5" HMA-A |
| The quantity of what the sample constitutes | 16 boxes, 18 bags | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | not provided | Last name of sampler or witnessed by | not provided |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | API Gateway | 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) | not provided |
|---|---|---|---|
| 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 | At the 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. | |||