Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2022-05-12-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993239 DEA: 100P5404 EFIS: 1013000251 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ,STA-5,99-6.2/6.6,R17.7/R18.1 |
| Award Date | 10/29/2021 |
| Closeout Date | 08/30/2023 |
| Work Description | REMOVE & PLACE STRUCTURAL CONCRETE BRIDGE; AND PLACE CONCRETE BARRIER. |
| Location Description | SAN JOAQUIN AND STANISLAUS COUNTIES ON ROUTE 5 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5/33 SEPARATION AND OVERHEAD AND ON ROUTE 99 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF WEST MODESTO OVERHEAD |
| QA Service Level | 1 (Verified on 09/27/2021) |
Sample Information
| Sample Taken Date | 05/12/2022 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 05/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | HMA |
| The quantity of what the sample constitutes | 2 boxs | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | T | Last name of sampler or witnessed by | Nixon |
| Title of sampler | Tech | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-05-12-44-1 AASHTO T209-12 (Verified)