Sample Record

DIME Sample ID 2024-10-08-18

Project Information

Project IdentifiersProject ID: 995005
DEA: 060X7004
EFIS: 0619000009
DIST-CO-RTE-PM06-TUL-63-5.8/L8.0
Award Date09/21/2023
Closeout Date01/09/2026
Work DescriptionCOLD PLANE PAVEMENT, PLACE RHMA-G, MODIFY LIGHTING AND SIGNAL SYSTEM.
Location DescriptionTULARE COUNTY IN VISALIA FROM 0.2 MILE SOUTH OF CALDWELL AVENUE TO ROUTE 63/198 SEPARATION
QA Service Level1 (Verified on 07/27/2023)

Owner Lab

  • CT D06 - Visalia Field Laboratory

Sample Information

Sample Taken Date10/08/2024 Sample Unique Key18
Date that the sample was received by the laboratory/organization performing the testing10/09/2024 Sample typeQuality Assurance
A brief description of the sample1/2 HMA Type A The quantity of what the sample constitutes10 Box, 4 Bag, 2 Can
From where was the sample collectedSource First name of sampler or witnessed byMartika
Last name of sampler or witnessed byHall Title of samplerQA
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDeer Creek Rock and Aspahlt
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-54-0021
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 collectedHMA Plant Cold Feed
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number1
Sublot number8 Aggregate Mix Number

Submitted Tests

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