Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2025-08-20-25

Project Information

Project IdentifiersProject ID: 1001111
DEA: 010M6504
EFIS: 0123000052
DIST-CO-RTE-PM01-HUM-101-125.7/R131.7
Award Date06/09/2025
Closeout Date11/03/2025
Work DescriptionREPLACE AC SURFACING AND DELINEATION.
Location DescriptionHUMBOLDT COUNTY ON ROUTE 101 FROM 0.40 MILE SOUTH OF SOUTH PRAIRIE CREEK UNDERCROSSING TO 2.76 MILES NORTH OF BOYES CREEK VIADUCT
QA Service Level1 (Verified on 05/05/2025)

Sample Information

Sample Taken Date08/20/2025 Sample Unique Key25
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 testing08/20/2025
Sample typeQuality Assurance A brief description of the samplesample at 300 tons
The quantity of what the sample constitutes4 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byJason Last name of sampler or witnessed byHuett
Title of samplerTET Telephone number of sampler7078155590
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKernen Blue Lake Plant Transportation Laboratory (TL) Number
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 Grading1/2 inch Lot number
Sublot number HMA Mix Number
Binder content (%)0.0 Virgin binder PG PG 64-16
Design binder PG PG 64-16 Binder Supplier
RAP content (%)15 WMA AdditivesYes
Antistrip type

Submitted Tests

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