Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2023-02-10-57
Project Information
| Project Identifiers | Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-15-15.7 |
| Award Date | 05/04/2021 |
| Closeout Date | Not set |
| Work Description | Construct roadway and bridge with structural concrete and CIDH piling |
| Location Description | District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7 |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 02/10/2023 | Sample Unique Key | 57 |
|---|---|---|---|
| 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 | 02/10/2023 |
| Sample type | Quality Assurance | A brief description of the sample | RAP |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
| Title of sampler | Plant QC | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bodean - Santa Rosa | Transportation Laboratory (TL) Number | 861617 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Bodean Santa Rosa |
|---|---|---|---|
| Aggregate Size | 3/8 | Aggregate Source | |
| RAP Stockpile | Continuous | Stockpile Size (tons) | |
| Reclaimed Asphalt Pavement Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
