Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-07-20-69

Project Information

Project IdentifiersProject ID: 994745
DEA: 040Y2304
EFIS: 0422000258
DIST-CO-RTE-PM04-NAP-29-0.0/5.1
Award Date03/08/2023
Closeout Date01/10/2024
Work DescriptionCold plane AC pavement and place HMA (A).
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN NAPA COUNTY IN AND NEAR AMERICAN CANYON FROM SOLANO COUNTY LINE TO 0.4 MILE NORTH OF AIRPORT BOULEVARD.
QA Service Level1 (Verified on 05/10/2023)

Sample Information

Sample Taken Date07/20/2023 Sample Unique Key69
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 testing07/21/2023
Sample typeQuality Assurance A brief description of the sample3/4-INCH HMA Types A and B
The quantity of what the sample constitutesLOT 1 SUBLOT 4 From where was the sample collectedSource
First name of sampler or witnessed byNick Last name of sampler or witnessed byHall
Title of sampler Telephone number of sampler7072999133
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Vallejo Batch Plant Transportation Laboratory (TL) Number727276
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number4 HMA Mix Number220991W

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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