Sample Record
Owner Labs
- CT D08 - Fontana Southern Regional Laboratory
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2016-08-05-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211198 DEA: 072W9304 EFIS: 0715000020 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33-40.0/42.0 |
| Award Date | 03/25/2016 |
| Closeout Date | 07/05/2017 |
| Work Description | CONSTRUCT PAVEMENT USING COLD IN-PLACE RECYCLING AND OVERLAY WITH HMA. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/06/2016) |
Sample Information
| Sample Taken Date | 08/05/2016 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 08/11/2016 |
| Sample type | Quality Assurance | A brief description of the sample | aggregate |
| The quantity of what the sample constitutes | 3 bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tyler | Last name of sampler or witnessed by | Carr |
| Title of sampler | ASR | Telephone number of sampler | Unknown |
| Laboratory sample identification | 6328b-16 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Griffith Edmonston | Transportation Laboratory (TL) Number | 836057 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Griffith Edmonston |
|---|---|---|---|
| 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 | source |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | na | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||