Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-06-03-21

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 209616
DEA: 024E4404
EFIS: 0200020285
DIST-CO-RTE-PM02-MOD-139-R10.7/28.0
Award Date11/24/2015
Closeout Date03/22/2017
Work DescriptionFULL DEPTH PAVEMENT RECLAMATION, HMA AND RUBBERIZED HMA.
Location DescriptionIN MODOC COUNTY ABOUT 17 MILES SOUTH OF NEWELL FROM 0.1 MILE NORTHOF BOLES ROAD TO 0.1 MILE SOUTH OF PEREZ ROAD.
QA Service Level1 (Verified on 06/20/2014)

Sample Information

Sample Taken Date06/03/2016 Sample Unique Key21
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 testingNot set
Sample typeQuality Control A brief description of the samplethree quarter inch HMA Type A
The quantity of what the sample constitutes4bags From where was the sample collectedSource
First name of sampler or witnessed byEdward Last name of sampler or witnessed byCortez
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification16CPCC-0274 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameShaw pit Transportation Laboratory (TL) NumberC847794
Inspector Lot Number from the Transportation Laboratory (TL) Form16-08-s1 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-25-0008::SHAW PIT
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
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
2016-06-03-21-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory07/13/2016Benjamin Lenz
Yes
07/18/2016

Test Card Drafts

Material TypeTest MethodSaved ByDate SavedActions
No drafts of tests saved for your Sample.