Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-08-13-35

Project Information

Project IdentifiersProject ID: 1000114
DEA: 060W8204
EFIS: 0617000304
DIST-CO-RTE-PM06-KIN-41-28.4/R40.1
Award Date05/22/2024
Closeout DateNot set
Work DescriptionCOLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G.
Location DescriptionKINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION
QA Service Level1 (Verified on 02/26/2024)

Sample Information

Sample Taken Date08/13/2024 Sample Unique Key35
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 testing08/13/2024
Sample typeAcceptance A brief description of the sample1/2 RHMA CF
The quantity of what the sample constitutes1049 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byJonathon Last name of sampler or witnessed byChaney
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0005
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 collectedColdfeed Conveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number5
Sublot number2 Aggregate Mix Number13436 s

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments