Sample Record

Owner Lab

  • CT D06 - Materials Laboratory

DIME Sample ID 2026-06-30-2

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date06/30/2026 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing06/30/2026 Sample typeAcceptance
A brief description of the sampleRHMA-G 10% RAP Traning The quantity of what the sample constitutes4 boxes
From where was the sample collectedSource First name of sampler or witnessed byjohn
Last name of sampler or witnessed byDoe Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDoe Plant
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 Grading3/4 inch Lot number4
Sublot number4 HMA Mix Number4
Binder content (%)4.0 Virgin binder PGPG 58-22
Design binder PG PG 64-28M Binder Supplier4
RAP content (%)4 WMA AdditivesYes
Antistrip type4

Submitted Tests

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