Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2015-05-20-10

Project Information

Project IdentifiersProject ID: 209767
DEA: 043G6504
EFIS: 0412000150
DIST-CO-RTE-PM04-SOL-680-0.35/13.10
Award Date12/31/1969
Closeout Date11/30/2016
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 09/02/2014)

Sample Information

Sample Taken Date05/20/2015 Sample Unique Key10
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 testing05/27/2015
Sample typeVerification A brief description of the samplehalf in HMA
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byJoy Last name of sampler or witnessed bySharma
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification15ASPH-0274 thru 15ASPH-0278 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameSyar Lake Herman Transportation Laboratory (TL) NumberC667691 thru C667696
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeJob Mix Formula Partial Source Identification (SMARA or name of Pit)91-48-0002
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampledUnknown Superpave or Non-superpave MixSuperpave
JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2015-05-20-10-1AASHTO T85-13: Standard Method of Test for Specific Gravity and Absorption of Coarse Aggregate (Coarse Specific Gravity)Thomas StinnettCT HQ - Sacramento Concrete Testing Laboratory06/10/2015Thomas Stinnett
Yes
06/15/2015