Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-16-31

Project Information

Project IdentifiersProject ID: 994514
DEA: 043Y0504
EFIS: 0423000192
DIST-CO-RTE-PM04-SOL-12112113-var/var
Award Date01/12/2023
Closeout Date03/11/2024
Work DescriptionPAVEMENT REPAIR
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/16/2023 Sample Unique Key31
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 testing05/16/2023
Sample typeQuality Assurance A brief description of the sample3/4 HMA Type A
The quantity of what the sample constitutes6 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byPlant QC Last name of sampler or witnessed byPlant QC
Title of samplerQC Technician Telephone number of sampler
Laboratory sample identificationCon_23_436 Linked DIME Sample ID2023-05-15-47
The fabricator/manufacturer/facility nameGranite Bradshaw Plant Transportation Laboratory (TL) NumberC422-328
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)91-34-0060
The fabricator's/manufacturer's product name for the sample3/4 HMA Type A The fabricator/manufacturer designation for the sampleDrum Plant
The plant number A detailed description of where the material sample was collectedcoldfeed
Where the material sample would have been placed if not sampled Roadway Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number1635V

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-16-31-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Augusto Rios, CT D04 - Concord Field Laboratory05/18/2023anthony ibarra
Yes
05/18/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-16-31-1 AASHTO T27-14 (Verified)