Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2022-10-27-67

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date10/27/2022 Sample Unique Key67
Date that the sample was received by the laboratory/organization performing the testing11/10/2022 Sample typeQuality Assurance
A brief description of the sample3/4 HMA With RAP-WMA The quantity of what the sample constitutes 2 boxs
From where was the sample collectedJob Site First name of sampler or witnessed byCody
Last name of sampler or witnessed byCordero Title of samplerConsultant
Telephone number of sampler916-604-2325 Laboratory sample identification101267
Linked DIME Sample ID The fabricator/manufacturer/facility nameDutra Materials Richmond
Transportation Laboratory (TL) Number101267 Inspector Lot Number from the Transportation Laboratory (TL) FormCody Brown
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number1 HMA Mix NumberL21140WMA
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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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