Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2016-06-03-21
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Project Information
| Project Identifiers | Project ID: 209616 DEA: 024E4404 EFIS: 0200020285 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-139-R10.7/28.0 |
| Award Date | 11/24/2015 |
| Closeout Date | 03/22/2017 |
| Work Description | FULL DEPTH PAVEMENT RECLAMATION, HMA AND RUBBERIZED HMA. |
| Location Description | IN 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 Level | 1 (Verified on 06/20/2014) |
Sample Information
| Sample Taken Date | 06/03/2016 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | three quarter inch HMA Type A |
| The quantity of what the sample constitutes | 4bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Edward | Last name of sampler or witnessed by | Cortez |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 16CPCC-0274 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Shaw pit | Transportation Laboratory (TL) Number | C847794 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 16-08-s1 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-25-0008::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 collected | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| 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: 2016-06-03-21-1 CTM 214-August 2010 (Verified)