Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-03-08-16

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215374
DEA: 060X2704
EFIS: 0618000048
DIST-CO-RTE-PM06-FRE-5-37.2/48.8
Award DateNot set
Closeout DateNot set
Work DescriptionPAVEMENT REHABILITATION
Location DescriptionFROM 1.9 MILES NORTH OF THREE ROCKS ROAD UC TO 0.2 MILES SOUTH OF PANOCHE ROAD OC
QA Service Level1 (Verified on 12/16/2020)

Sample Information

Sample Taken Date03/08/2023 Sample Unique Key16
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 testing03/09/2023
Sample typeAcceptance A brief description of the sampleStructural concrete aggs
The quantity of what the sample constitutes300 cy From where was the sample collectedManufacturer
First name of sampler or witnessed byNoah Last name of sampler or witnessed byHunt
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDon Chaplin Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-35-0012
The fabricator's/manufacturer's product name for the sample1X4 and sand The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledBridge Deck Primary Aggregate Nominal Size1 inch
The concrete mix design numberG67534ST Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-08-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAllen Oliver, CT D06 - Millbrook Field Laboratory03/08/2023Allen Oliver
Yes
03/09/2023
2023-03-08-16-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesAllen Oliver, CT D06 - Millbrook Field Laboratory03/08/2023Allen Oliver
Yes
03/09/2023
2023-03-08-16-3CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Allen Oliver, CT D06 - Millbrook Field Laboratory03/08/2023Allen Oliver
Yes
03/09/2023
2023-03-08-16-4CTM 217-June 2011: Method of Test for Sand EquivalentAllen Oliver, CT D06 - Millbrook Field Laboratory03/08/2023Allen Oliver
Yes
03/09/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-08-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-08-16-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-08-16-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2023-03-08-16-4 CTM 217-June 2011 (Verified)