Sample Record

DIME Sample ID 2022-01-10-37

Project Information

Project IdentifiersProject ID: 215417
DEA: 101K9304
EFIS: 1020000014
DIST-CO-RTE-PM10-SJ-VAR,580-VAR
Award Date04/29/2021
Closeout Date06/27/2022
Work DescriptionBRIDGE DECKS INVESTIGATION AND REHABILITATION IN AND NEAR TRACY
Location DescriptionSJ CTY IN & NEAR TRACY FROM GAFFERY RD TO EAST MIDWAY
QA Service Level1 (Verified on 01/04/2021)

Owner Lab

  • CT D10 - District 10 Materials Laboratory

Sample Information

Sample Taken Date01/10/2022 Sample Unique Key37
Date that the sample was received by the laboratory/organization performing the testing01/11/2022 Sample typeVerification
A brief description of the sample1/2" HMA-A The quantity of what the sample constitutes4 bags, 16 boxes
From where was the sample collectedManufacturer First name of sampler or witnessed byMike
Last name of sampler or witnessed byCozad Title of samplerLab Technician
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID22-J-001 The fabricator/manufacturer/facility nameTeichert Materials Vernalis
Transportation Laboratory (TL) Number034276 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 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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