Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-05-12-63
Project Information
Project Identifiers | Project ID: 994120 DEA: 040J6314 EFIS: 0421000252 |
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DIST-CO-RTE-PM | 04-SOL-12-21.2/22.6 |
Award Date | 09/16/2022 |
Closeout Date | Not set |
Work Description | ROADWAY RESURFACING, INSTALL DRAINAGE SYSTEM, MIDWEST GUARDRAIL SYSTEM |
Location Description | SOLANO COUNTY NEAR RIO VISTA FROM MCCLOSKY ROAD TO 0.1 MILE WEST OF AZEVEDO ROAD |
QA Service Level | 1 (Verified on 09/13/2022) |
Sample Information
Sample Taken Date | 05/12/2023 | Sample Unique Key | 63 |
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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 | 05/12/2023 |
Sample type | Quality Assurance | A brief description of the sample | 1/2 HMA Type A |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Trenton | Last name of sampler or witnessed by | Cross |
Title of sampler | QC Technician | Telephone number of sampler | |
Laboratory sample identification | Con_23_438 | Linked DIME Sample ID | 2023-05-12-59 |
The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | C727234 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF | Structure unique identifier | |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-39-0041 |
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The fabricator's/manufacturer's product name for the sample | 1/2 HMA Type A | The fabricator/manufacturer designation for the sample | Drum Plant |
The plant number | A detailed description of where the material sample was collected | coldfeed | |
Where the material sample would have been placed if not sampled | JMF | Primary Aggregate Nominal Size | 1/2 inch |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | 30240442412V |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-05-12-63-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-05-12-63-2 AASHTO T176-08 (Verified)