Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2023-02-22-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-50-L0.2/R6.1 |
| Award Date | 06/30/2020 |
| Closeout Date | Not set |
| Work Description | Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC |
| Location Description | FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 02/22/2023 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 02/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA Aggregates |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Mark | Last name of sampler or witnessed by | Mahoney |
| Title of sampler | Materials Tester | Telephone number of sampler | 5306325324 |
| Laboratory sample identification | 2402 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Perkins - Continuous Plant | 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) | 91-34-0053 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4WMASPW/13RAP | The fabricator/manufacturer designation for the sample | Mix |
| The plant number | A detailed description of where the material sample was collected | Autmoatic Sampler at Gencore Plant | |
| Where the material sample would have been placed if not sampled | US50 Segment 1 | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-22-3-1 AASHTO T27-14 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| #204, 2-22-23, Combined grading Cold Feed, 03-0H08U4 | 03/07/2023 | 2023-02-22-3-1 | Info |