Sample Record

Owner Labs

  • CT - Unassigned/General Field Laboratory
  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2023-06-07-28

Project Information

Project IdentifiersProject ID: 994345
DEA: 023J7804
EFIS: 0222000083
DIST-CO-RTE-PM02-TRI-36-15.8/16.9,20.5/24.5
Award Date12/22/2022
Closeout Date08/22/2023
Work DescriptionPLACE HOT MIX ASPHALT (TYPE A) AND REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionTRINITY COUNTY NEAR FOREST GLEN FROM 1.1 MILES WEST OF SOUTH FORK TRINITY RIVER BRIDGE TO SOUTH FORK TRINITY RIVER BRIDGE NO. 05-0026 AND FROM UPPER RATTLESNAKE CREEK BRIDGE NO. 05-0073 TO 0.3 MILE WEST OF TRINITY PINES ROAD
QA Service Level1 (Verified on 03/28/2023)

Sample Information

Sample Taken Date06/07/2023 Sample Unique Key28
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 testing06/07/2023
Sample typeQuality Assurance A brief description of the sample1/2 HMA Type A
The quantity of what the sample constitutes750 tons or 1 day From where was the sample collectedManufacturer
First name of sampler or witnessed byCindy Last name of sampler or witnessed byBryant
Title of samplerTET Telephone number of sampler5306045116
Laboratory sample identificationlot 1 subl 3 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTullis Inc. - Northstate Asphalt (Redding CA) Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number1
Sublot number3 HMA Mix NumberL210154
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

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