Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2026-07-23-5

Project Information

Project IdentifiersProject ID: 1001370
DEA: 010K9504
EFIS: 0121000034
DIST-CO-RTE-PM01-DN-101-15.6/16.2
Award Date09/22/2025
Closeout DateNot set
Work DescriptionPLACE ROADWAY SECTION, INSTALL GUARDRAIL, & EXCAVATE EXISTING ROADWAY.
Location DescriptionDEL NORTE COUNTY ABOUT 10.0 MILES SOUTH OF CRESCENT CITY FROM 3.0 MILES NORTH TO 3.6 MILES NORTH OF WILSON CREEK BRIDGE
QA Service Level1 (Verified on 07/08/2025)

Sample Information

Sample Taken Date07/23/2026 Sample Unique Key5
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 testing07/23/2026
Sample typeQuality Assurance A brief description of the sample1/2" HMA-A
The quantity of what the sample constitutes4 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byLee Last name of sampler or witnessed byRenick
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTidewater Smith River 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 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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