Sample Record
Owner Lab
- CT D01 - Fortuna Field Laboratory
DIME Sample ID 2024-06-28-64
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994671 DEA: 010H8004 EFIS: 0118000110 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-254-4.3/4.7 |
| Award Date | 03/10/2023 |
| Closeout Date | Not set |
| Work Description | Project Name: Myers Flat Permanent Restoration |
| Location Description | Bridge No. 04E0041 |
| QA Service Level | 1 (Verified on 04/11/2023) |
Sample Information
| Sample Taken Date | 06/28/2024 | Sample Unique Key | 64 |
|---|---|---|---|
| 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 | 07/02/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Cold Feed, Virgin 3/4-inch Type A Aggregate |
| The quantity of what the sample constitutes | 750 Tons, Lot 1-2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Plant | Last name of sampler or witnessed by | Technician |
| Title of sampler | Plant QC | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kernen Blue Lake Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-12-0066 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 Cold feed and rap | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 2 | Aggregate Mix Number |
Combined Gradation Report Information
| Combined Gradation Report Id | Bin Index | Dime Test Id |
|---|---|---|
| 2024-07-20: HMA Aggregates (Size 3/4"): Type A HMA - Continuous Mixing Plant - Sieve Analysis With RAP | 1 | 2024-06-28-64-4 |
| 2024-07-20: HMA Aggregates (Size 3/4"): Type A HMA - Continuous Mixing Plant - Sieve Analysis With RAP | 2 | 2024-06-28-64-5 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-28-64-1 AASHTO T176-08 (Verified)
DIME Test ID: 2024-06-28-64-4 AASHTO T27-14 (Verified)
DIME Test ID: 2024-06-28-64-5 AASHTO T30-19 (Verified)