Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2025-07-21-80

Project Information

Project IdentifiersProject ID: 1001288
DEA: 041X1004
EFIS: 0424000249
DIST-CO-RTE-PM04-SCL-9-4.0
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/05/2025)

Sample Information

Sample Taken Date07/21/2025 Sample Unique Key80
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/30/2025
Sample typeProduction Start-Up A brief description of the sample1/2" HMA-A+15% RAP
The quantity of what the sample constitutes2 Bags RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byCharles Last name of sampler or witnessed byPoolis
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-076 Linked DIME Sample ID2025-07-21-79
The fabricator/manufacturer/facility namePeninsula Road Materials-RC Transportation Laboratory (TL) NumberSJ-072125-2
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceGraniterock
Aggregate Size Aggregate Source
RAP Stockpile Stockpile Size (tons)
Reclaimed Asphalt Pavement Mix Number373

Submitted Tests

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