Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2021-03-16-16

Project Information

Project IdentifiersProject ID: 215093
DEA: 101C2804
EFIS: 1014000134
DIST-CO-RTE-PM10-SJ-99-30.9/31.3
Award Date10/21/2020
Closeout Date08/30/2023
Work DescriptionRAISED BRIDGES, REALIGN RAMPS AND CONSTRUCT AUXILIARY LANE.
Location DescriptionSAN JOAQUIN COUNTY IN LODI FROM 0.4 MILE SOUTH OF ROUTE 12/99 SEPARATION TO 0.3 MILE SOUTH OF TURNER ROAD OVERCROSSING
QA Service Level1 (Verified on 08/21/2020)

Sample Information

Sample Taken Date03/16/2021 Sample Unique Key16
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 testing03/02/2021
Sample typeVerification A brief description of the sample1/2 RHMA G PG64-16 Valero B
The quantity of what the sample constitutesJMF 16 boxs From where was the sample collectedManufacturer
First name of sampler or witnessed byJason Last name of sampler or witnessed byKort
Title of samplerConsultant Tester Telephone number of sampler
Laboratory sample identification21-J-011 Linked DIME Sample ID2021-4-13
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) NumberC034715
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 Grading1/2 inch Lot number
Sublot number HMA Mix NumberNot set
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

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