Sample Record

Owner Lab

  • CT D04 - Hayward Field Laboratory

DIME Sample ID 2025-08-29-30

Project Information

Project IdentifiersProject ID: 1000682
DEA: 09379104
EFIS: 0919000005
DIST-CO-RTE-PM09-INY-395-91.6/100.8
Award Date02/20/2025
Closeout DateNot set
Work DescriptionCONSTRUCT HMA, CURB RAMPS, AND ELECTRICAL SYSTEMS.
Location DescriptionINYO COUNTY AT AND NEAR BIG PINE FROM 0.1 MILE SOUTH OF ELNA ROAD TO SOUTH JUNCTION ROUTE 168
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date08/29/2025 Sample Unique Key30
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 testing08/29/2025
Sample typeAcceptance A brief description of the sample3/4" HMA Cores
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byJerid Last name of sampler or witnessed byKupelian
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationCR-78 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRHB Plant Independence 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 number
Sublot number HMA Mix Number
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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