Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2023-06-16-39
Project Information
Project Identifiers | Project ID: 215057 DEA: 010F5304 EFIS: 0116000018 |
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DIST-CO-RTE-PM | 01-HUM-299,200-R1.8,R2.7 |
Award Date | 09/02/2020 |
Closeout Date | 09/21/2023 |
Work Description | RAISE BRIDGE AND HMA PAVING |
Location Description | HUMBOLDT COUNTY NEAR ARCATA AT ROUTE 200/299 SEPARATION |
QA Service Level | 1 (Verified on 07/24/2020) |
Sample Information
Sample Taken Date | 06/16/2023 | Sample Unique Key | 39 |
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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 | 06/16/2023 |
Sample type | Department Acceptance | A brief description of the sample | 1/2" HMA-A R15 PG 64-16 |
The quantity of what the sample constitutes | 1 day of production | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | george | Last name of sampler or witnessed by | thorpe |
Title of sampler | Consultant Tester | Telephone number of sampler | |
Laboratory sample identification | 23-134 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Kernen | Transportation Laboratory (TL) Number | 972439 |
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 | 1/2 inch | Lot number | |
Sublot number | HMA Mix Number | 20 226 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-16-39-1 AASHTO T308-10 (Verified)