Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2023-06-06-47
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Project Information
| Project Identifiers | Project ID: 993669 DEA: 112N1164 EFIS: 1121000145 |
|---|---|
| DIST-CO-RTE-PM | 11-IMP-186-0.0/2.1 |
| Award Date | 06/09/2022 |
| Closeout Date | 12/01/2023 |
| Work Description | COLD PLANE, SAMI, RHMA-G AND PAVEMENT MARKINGS |
| Location Description | IMPERIAL COUNTY AT ANDRADE FROM MEXICO BORDER TO ROUTE 186/8 SEPARATION |
| QA Service Level | 1 (Verified on 03/29/2022) |
Sample Information
| Sample Taken Date | 06/06/2023 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 06/09/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" RHMA-G |
| The quantity of what the sample constitutes | 8 boxes 8 bags | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Enrique | Last name of sampler or witnessed by | Martinez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 7403-PSU | Linked DIME Sample ID | 2023-06-05-41 |
| The fabricator/manufacturer/facility name | API Gateway | 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) | N/A |
|---|---|---|---|
| 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 | Supplier | |
| 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: 2023-06-06-47-1 AASHTO T27-14 (Verified)