Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2023-02-01-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993124 DEA: 101F1704 EFIS: 1016000032 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-26,99-1.1,19.3 |
| Award Date | 09/07/2021 |
| Closeout Date | 08/30/2023 |
| Work Description | REMOVE AND REPLACE BRIDGE. |
| Location Description | SAN JOAQUIN COUNTY NEAR STOCKTON AT ROUTE 26/99 SEPARATION |
| QA Service Level | 1 (Verified on 07/23/2021) |
Sample Information
| Sample Taken Date | 02/01/2023 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 02/06/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA-A |
| The quantity of what the sample constitutes | 4 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Treven | Last name of sampler or witnessed by | Fulkerson |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | 23-h-010 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Vernalis | Transportation Laboratory (TL) Number | 032234 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 2 |
| Sublot number | 1 | HMA Mix Number | 22 006 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-01-30-1 AASHTO T209-12 (Verified)
DIME Test ID: 2023-02-01-30-2 AASHTO T308-10 (Verified)