Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-04-21-14
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Project Information
| Project Identifiers | Project ID: 210796 DEA: 024G8204 EFIS: 0214000063 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R10.7/R19.5 |
| Award Date | 12/18/2015 |
| Closeout Date | 04/06/2018 |
| Work Description | COLD PLANE, PLACE HMA |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 04/21/2016 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 05/20/2016 |
| Sample type | Per Request | A brief description of the sample | Fine HMA type A |
| The quantity of what the sample constitutes | sample as recieved | From where was the sample collected | Source |
| First name of sampler or witnessed by | Unknown | Last name of sampler or witnessed by | Erikson |
| Title of sampler | Manager | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16CPCC-0237 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Fawndale Rock Quarry | Transportation Laboratory (TL) Number | c847793B |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | JMF 16 07 S1 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-45-0017::FAWNDALE ROCK QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-04-21-14-1 CTM 214-August 2010 (Verified)