Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-04-13-19

Project Information

Project IdentifiersProject ID: 993573
DEA: 061C5204
EFIS: 0621000173
DIST-CO-RTE-PM06-KIN-198-7.4/R9.4,R14.8/T21.6
Award Date04/19/2022
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RHMA (GAP GRADED) AND HMA (TYPE A).
Location DescriptionKINGS COUNTY IN AND NEAR LEMOORE FROM 1.5 MILES WEST OF ROUTE 41/198 SEPARATION TO 0.1 MILE WEST OF NINETEENTH AVENUE OVERCROSSING AND FROM 0.1 MILE EAST OF FOURTEENTH AVENUE UNDERCROSSING TO 0.6 MILE EAST OF ROUTE 43/198 SEPARATION
QA Service Level1 (Verified on 02/22/2022)

Sample Information

Sample Taken Date04/13/2023 Sample Unique Key19
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 testing04/14/2023
Sample typeQuality Assurance A brief description of the sample1/2" OGFC
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byTomas Last name of sampler or witnessed bySilva
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Coalinga 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)91-10-0005
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number1
Sublot number3 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-13-19-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Allen Oliver, CT D06 - Millbrook Field Laboratory04/14/2023Allen Oliver
Yes
04/14/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-04-13-19-1 AASHTO T27-14 (Verified)