Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2025-10-24-59

Project Information

Project IdentifiersProject ID: 1000567
DEA: 042K7404
EFIS: 0417000018
DIST-CO-RTE-PM04-MRN-37-R11.2/14.5
Award Date12/20/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, PLACE RHMA AND REPLACE CONCRETE BARRIER.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM IGNACIO OVERHEAD TO PETALUMA RIVER BRIDGE
QA Service Level1 (Verified on 10/16/2024)

Sample Information

Sample Taken Date10/24/2025 Sample Unique Key59
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 testing12/30/2025
Sample typeProduction Start-Up A brief description of the sampleProduction Start Up
The quantity of what the sample constitutes24 Boxes HMA From where was the sample collectedSupplier
First name of sampler or witnessed byJose Leon Last name of sampler or witnessed byAmparan
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-088 Linked DIME Sample ID2025-10-24-58
The fabricator/manufacturer/facility nameVulcan - Todd Road Batch Transportation Laboratory (TL) Number2025-10-24-005
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number220994
Binder content (%)0.0 Virgin binder PG
Design binder PG Binder Supplier
RAP content (%)Not set WMA Additives
Antistrip type

Submitted Tests

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