Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2023-02-14-51
Project Information
Project Identifiers | Project ID: 994513 DEA: 043Y0604 EFIS: 0423000193 |
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DIST-CO-RTE-PM | 04-MRN-1-var/var |
Award Date | 02/12/2023 |
Closeout Date | 03/11/2024 |
Work Description | PAVEMENT REPAIR |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 02/14/2023 | Sample Unique Key | 51 |
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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 | 02/17/2023 |
Sample type | Quality Assurance | A brief description of the sample | Ra+ Bin # 4 3 2 1 |
The quantity of what the sample constitutes | 5 Bags | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Not Witness | Last name of sampler or witnessed by | Plant Employee |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Rich_23_044 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Bodean - Santa Rosa | 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) | 91-49-0032 |
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The fabricator's/manufacturer's product name for the sample | HMA -SP Type A | The fabricator/manufacturer designation for the sample | |
The plant number | A detailed description of where the material sample was collected | Bin Hopper | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | 1 | |
Sublot number | 1 | Aggregate Mix Number | 700SPW16 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-02-14-51-1 AASHTO T27-14 (Verified)