Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2021-10-28-46
Project Information
| Project Identifiers | Project ID: 215086 DEA: 101G7504 EFIS: 1017000036 |
|---|---|
| DIST-CO-RTE-PM | 01-MER,SJ,STA-5,59,99,152-Var |
| Award Date | 11/04/2020 |
| Closeout Date | 12/05/2022 |
| Work Description | UPGRADE TRAFFIC MONITORING STATIONS. |
| Location Description | MERCED, SAN JOAQUIN AND STANISLAUS COUNTIES AT VARIOUS LOCATIONS. |
| QA Service Level | 1 (Verified on 08/03/2020) |
Sample Information
| Sample Taken Date | 10/28/2021 | Sample Unique Key | 46 |
|---|---|---|---|
| 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 testing | 11/01/2021 |
| Sample type | Verification | A brief description of the sample | 3/4 HMA-A -R12% |
| The quantity of what the sample constitutes | 16 boxes of mix | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Kort |
| Title of sampler | Consultant Tester | Telephone number of sampler | |
| Laboratory sample identification | C035069 | Linked DIME Sample ID | 2021-11-1-21 |
| The fabricator/manufacturer/facility name | Teichert Materials Vernalis | Transportation Laboratory (TL) Number | C035069 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
