Sample Record

DIME Sample ID 2022-08-04-28

Project Information

Project IdentifiersProject ID: 215591
DEA: 112N0724
EFIS: 1119000164
DIST-CO-RTE-PM11-IMP-111-R0.1/R1.2
Award Date05/27/2021
Closeout Date07/27/2023
Work DescriptionCOLD PLANE, PLACE STRESS ABSORBING MEMBRANE INTERLAYER AND RHMA.
Location DescriptionIMPERIAL COUNTY IN CALEXICO FROM 0.1 MILE NORTH OF MEXICO BORDER TO ROUTE 98.
QA Service Level1 (Verified on 07/06/2021)

Owner Lab

  • CT D11 - District 11 Materials Laboratory

Sample Information

Sample Taken Date08/04/2022 Sample Unique Key28
Date that the sample was received by the laboratory/organization performing the testing08/05/2022 Sample typeQuality Assurance
A brief description of the sample1.5" HMA-A The quantity of what the sample constitutes16 boxes, 18 bags
From where was the sample collectedSupplier First name of sampler or witnessed bynot provided
Last name of sampler or witnessed bynot provided Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAPI Gateway
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)not provided
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1-1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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