Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2019-09-05-38

Project Information

Project IdentifiersProject ID: 212803
DEA: 060T8004
EFIS: 0615000231
DIST-CO-RTE-PM06-TUL-99-R37.3/41.3
Award Date12/12/2017
Closeout Date04/14/2021
Work DescriptionRESURFACE EXISTING PAVEMENT WITH RHMA-OPEN (BWC).
Location DescriptionTULARE COUNTY NEAR GOSHEN FROM 0.9 MILE SOUTH OF WEST VISALIA OVERHEAD TO 0.2 MILE NORTH OF NORTH GOSHEN OVERHEAD
QA Service Level1 (Verified on 12/19/2018)

Sample Information

Sample Taken Date09/05/2019 Sample Unique Key38
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 testing10/01/2019
Sample typeDispute Resolution A brief description of the sample1/2" RHMA OGFC
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byD Last name of sampler or witnessed byRuss
Title of samplerInspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePapich Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeOGFC
HMA Grading1/2 inch Lot number1
Sublot number19 HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments