Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2025-07-21-78
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1001288 DEA: 041X1004 EFIS: 0424000249 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-9-4.0 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/05/2025) |
Sample Information
| Sample Taken Date | 07/21/2025 | Sample Unique Key | 78 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 10/30/2025 |
| Sample type | Production Start-Up | A brief description of the sample | 1/2" HMA-A+15% RAP |
| The quantity of what the sample constitutes | 4 bags Aggregate | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Charles | Last name of sampler or witnessed by | Poolis |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D04-SE-25-076 | Linked DIME Sample ID | 2025-07-21-79 |
| The fabricator/manufacturer/facility name | Peninsula Road Materials-RC | Transportation Laboratory (TL) Number | SJ-072125-2 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-35-0012 |
|---|---|---|---|
| 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 collected | Conveyer Belt-HMA Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | 373 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||