Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-04-13-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993573 DEA: 061C5204 EFIS: 0621000173 |
|---|---|
| DIST-CO-RTE-PM | 06-KIN-198-7.4/R9.4,R14.8/T21.6 |
| Award Date | 04/19/2022 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA (GAP GRADED) AND HMA (TYPE A). |
| Location Description | KINGS 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 Level | 1 (Verified on 02/22/2022) |
Sample Information
| Sample Taken Date | 04/13/2023 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 04/14/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" OGFC |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tomas | Last name of sampler or witnessed by | Silva |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Coalinga | 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) | 91-10-0005 |
|---|---|---|---|
| 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 collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 3 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-13-19-1 AASHTO T27-14 (Verified)