Sample Record
Owner Lab
- CT D05 - Monterey Construction Field Laboratory
DIME Sample ID 2022-08-22-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993234 DEA: 051H0004 EFIS: 0516000011 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-68-1.1/L4.3 |
| Award Date | 10/26/2021 |
| Closeout Date | 12/14/2023 |
| Work Description | PLACE HMA AND MODIFY SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | MONTEREY COUNTY IN AND NEAR PACIFIC GROVE AND MONTEREY FROM FOREST AVENUE TO ROUTE 68/1 SEPARATION |
| QA Service Level | 1 (Verified on 10/06/2021) |
Sample Information
| Sample Taken Date | 08/22/2022 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 08/22/2022 |
| Sample type | Acceptance | A brief description of the sample | Type 3 Slurry Seal/Micro-surfacing |
| The quantity of what the sample constitutes | 08/22/22 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Wesley | Last name of sampler or witnessed by | Rider |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | 2022-08-22-27 | |
| The fabricator/manufacturer/facility name | A.R. Wilson | 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) | 91-35-0012 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Type 3 Microsurfacing Aggregate 659 | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile at Haul Rd. | |
| Where the material sample would have been placed if not sampled | Round about | Primary Aggregate Nominal Size | 1/4 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: 2022-08-22-30-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-22-30-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-08-22-30-3 CTM 229-June 2011 (Verified)