Sample Record

Owner Lab

  • CT D04 - Hayward Field Laboratory - Deactivated

DIME Sample ID 2019-10-25-19

Project Information

Project IdentifiersProject ID: 213631
DEA: 04270104
EFIS: 0412000131
DIST-CO-RTE-PM04-ALA-580-R30.8/R41.5
Award Date01/07/2019
Closeout Date01/13/2023
Work DescriptionREPLACE SLABS, RESURFACE SHOULDER & RAMPS & CONSTRUCT MBGR & BARRIER
Location DescriptionALAMEDA COUNTY FROM ROUTE 580/ROUTE 238 SEPARATION TO BOSTON AVENUE UNDERCROSSING.
QA Service Level1 (Verified on 04/23/2019)

Sample Information

Sample Taken Date10/25/2019 Sample Unique Key19
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 testing10/28/2019
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA w/25% RAP
The quantity of what the sample constitutes622 tons From where was the sample collectedJob Site
First name of sampler or witnessed byThuc Last name of sampler or witnessed byTran
Title of samplerTE Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDe Silva Gates Sunol Transportation Laboratory (TL) NumberC031455
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
ModifiedYes Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

Submitted Tests

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