Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2016-06-13-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211091
DEA: 081G1004
EFIS: 0815000125
DIST-CO-RTE-PM08-RIV-74-36.5/42.6
Award Date02/25/2016
Closeout Date10/26/2016
Work DescriptionREPLACE ASPHALT CONCRETE SURFACING AND SLURRY SEAL
Location DescriptionREPLACE ASPHALT CONCRETE SURFACING AND SLURRY SEAL
QA Service Level1 (Verified on 05/03/2016)

Sample Information

Sample Taken Date06/13/2016 Sample Unique Key10
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 testing06/17/2016
Sample typeAcceptance A brief description of the sampleAggregate Type III for Slurry Seal
The quantity of what the sample constitutes1 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byMohammad Last name of sampler or witnessed byAbuelkhair
Title of samplerTE Telephone number of samplerUnknown
Laboratory sample identification6255B Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameChandler Corona Transportation Laboratory (TL) NumberC 985243
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 collectedJob Site
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
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
2016-06-13-10-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDanilo FerrerCT - Southern Regional Laboratory06/21/2016Charles Mcdonald
Yes
10/15/2019
2016-06-13-10-2CTM 217-June 2011: Method of Test for Sand EquivalentMD ShahjahanCT - Southern Regional Laboratory06/21/2016Charles Mcdonald
Yes
10/15/2019
2016-06-13-10-3CTM 229-June 2011: Method of Test for Durability IndexDanilo FerrerCT - Southern Regional Laboratory06/21/2016Charles Mcdonald
Yes
10/15/2019