Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-03-25-4
Project Information
Project Identifiers | Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 |
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DIST-CO-RTE-PM | 06-FRE-99-R4.9/11.6 |
Award Date | 02/25/2021 |
Closeout Date | Not set |
Work Description | CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION. |
Location Description | FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING |
QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
Sample Taken Date | 03/25/2023 | Sample Unique Key | 4 |
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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 | 03/25/2023 |
Sample type | Department Acceptance | A brief description of the sample | 3/4 HMA-A |
The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Tomas | Last name of sampler or witnessed by | Silva |
Title of sampler | Plant Inspector | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Vulcan Ashlan | Transportation Laboratory (TL) Number | |
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 |
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HMA Grading | 3/4 inch | Lot number | 12 |
Sublot number | 11 | HMA Mix Number | 22J010 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |