Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-04-25-5

Project Information

Project IdentifiersProject ID: 210695
DEA: 080K2924
EFIS: 0812000099
DIST-CO-RTE-PM08-SBD-10-32.9/R37.4
Award Date10/30/2015
Closeout Date08/08/2018
Work DescriptionREPLACE EXISTING (PCCP) WITH (RSCP).
Location DescriptionIN/NEAR REDLANDS FROM 0.2 MILE W/O FORD STREET TO 0.4 MILE E/O LIVEOAK CANYON ROAD.
QA Service Level1 (Verified on 10/19/2015)

Sample Information

Sample Taken Date04/25/2016 Sample Unique Key5
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 testing04/25/2016
Sample typeAcceptance A brief description of the sampleClass 2 Aggregate Base
The quantity of what the sample constitutes1 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byHamid Last name of sampler or witnessed byArjomand
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification6156B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedRte 10 WB Sta 795 00
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-04-25-5-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMD ShahjahanCT - Southern Regional Laboratory04/26/2016Charles Mcdonald
No
Info