Sample Record

Owner Lab

  • CT D05 - Whitley Gardens Field Laboratory

DIME Sample ID 2025-08-04-100

Project Information

Project IdentifiersProject ID: 994443
DEA: 053307C4
EFIS: 0514000028
DIST-CO-RTE-PM05-SLO-41,46-44.5/45.3,54.0/57.8
Award Date02/27/2023
Closeout DateNot set
Work DescriptionWye Segment - Route 41/46 Separation
Location DescriptionNot set
QA Service Level1 (Verified on 12/16/2022)

Sample Information

Sample Taken Date08/04/2025 Sample Unique Key100
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 testing09/15/2025
Sample typeDispute Resolution A brief description of the sampleHMA boxes - L221154AM
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byCarlos Last name of sampler or witnessed byManzo
Title of samplerQC Tester Telephone number of sampler
Laboratory sample identification250804-L6SL1 Dispute Linked DIME Sample ID
The fabricator/manufacturer/facility namePapich Construction 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 Grading3/4 inch Lot number6
Sublot number1 HMA Mix NumberL221154AM
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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