Sample Record

Owner Lab

  • CT D11 - District 11 Materials Laboratory

DIME Sample ID 2025-12-21-7

Project Information

Project IdentifiersProject ID: 995468
DEA: 114B0084
EFIS: 1122000208
DIST-CO-RTE-PM11---
Award Date03/12/2025
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 10/29/2024)

Sample Information

Sample Taken Date12/21/2025 Sample Unique Key7
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 testing12/22/2025
Sample typeQuality Assurance A brief description of the sampleJMFR
The quantity of what the sample constitutes4 boxes From where was the sample collectedSupplier
First name of sampler or witnessed byEddie Last name of sampler or witnessed byBidinger
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMM Lakeside 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 Grading1/2 inch Lot number
Sublot number HMA Mix Number2121705
Binder content (%)0.0 Virgin binder PG
Design binder PG Binder SupplierValero
RAP content (%)0 WMA AdditivesNo
Antistrip type

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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