Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
DEA: No Project
QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-12-18-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 12/18/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/18/2025
The quantity of what the sample constitutes: 4 boxes
A brief description of the sample: RHMA- G 10% RAP TRAINING
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Doe Plant
DIME Test ID: 2025-12-18-32-1
Test Method: AASHTO T308-25: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Method A) (Asphalt Binder Content)
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
Data has not been verified.