Sample Record

Owner Lab

  • CT HQ - Sacramento Aggregate Testing Laboratory

DIME Sample ID 2016-07-27-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211118
DEA: 021H0404
EFIS: 0215000099
DIST-CO-RTE-PM02-LAS-299-12.2/18.5
Award Date03/15/2016
Closeout Date09/05/2018
Work DescriptionASPHALT RUBBER SEAL COAT, PLACE HMA WITH REPLACE AC SURFACING
Location DescriptionNot set
QA Service Level1 (Verified on 09/22/2016)

Sample Information

Sample Taken Date07/27/2016 Sample Unique Key4
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 testing08/22/2016
Sample typeVerification A brief description of the sample1/2 HMA Type A
The quantity of what the sample constitutessample as recieved From where was the sample collectedSource
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byOrtiz
Title of samplerTET Telephone number of samplerUnknown
Laboratory sample identification16FPCC-0319 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameHogsback Transportation Laboratory (TL) Numberc847796
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)91-25-0029
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 collecteduntreated Stockpile
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberNot set
Sublot numberNot set JMF Verification ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2016-07-27-4-1CTM 214-August 2010: Method of Test for Soundness of Aggregates by Use of Sodium SulfateBenjamin LenzCT HQ - Sacramento Aggregate Testing Laboratory09/06/2016Benjamin Lenz
Yes
09/06/2016Test run per AASHTO T-104