Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2025-10-27-29

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 Date10/27/2025 Sample Unique Key29
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 testing10/27/2025
Sample typeQuality Assurance A brief description of the sampleCorrection Factor NCAT
The quantity of what the sample constitutesCF 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 identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Lake Herman 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 TypeRHMA-G
HMA Grading1/2 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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