Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2023-02-15-57

Project Information

Project IdentifiersProject ID: 994512
DEA: 043Y2804
EFIS: 0423000216
DIST-CO-RTE-PM04-MRN-101-var/var
Award DateNot set
Closeout Date03/11/2024
Work DescriptionREPAIR STORM-RELATED PAVEMENT DAMAGE & SETTLEMENT
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date02/15/2023 Sample Unique Key57
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 testing02/17/2023
Sample typeQuality Assurance A brief description of the sampleRap+ Bin 4 3 2 1
The quantity of what the sample constitutes5 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byNot Witness Last name of sampler or witnessed byPlant Employee
Title of sampler Telephone number of sampler
Laboratory sample identificationRich_23_ 049 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBoDean 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)91-49-0032
The fabricator's/manufacturer's product name for the sample700SPW16 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBin Hopper
Where the material sample would have been placed if not sampledRoad Way Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number3 Aggregate Mix Number700SPW16

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-02-15-57-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Anthony Ibarra, CT D04 - Richmond Field Laboratory02/18/2023IGNACIO ARECHIGA
Yes
03/24/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-15-57-1 AASHTO T27-14 (Verified)