Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2025-12-18-29
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | DEA: No Project |
|---|---|
| DIST-CO-RTE-PM | --- |
| Award Date | Not set |
| Closeout Date | 11/01/2022 |
| Work Description | Special project identifier for material not associated with a project |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 12/18/2025 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 testing | 12/18/2025 |
| Sample type | Acceptance | A brief description of the sample | 3/4" RHMA G, PG 64-16 |
| The quantity of what the sample constitutes | 4 boxes | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | fred | Last name of sampler or witnessed by | Lam |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Doe Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
|---|---|---|---|
| HMA Grading | 3/4 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||