Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-07-20-69
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994745 DEA: 040Y2304 EFIS: 0422000258 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-0.0/5.1 |
| Award Date | 03/08/2023 |
| Closeout Date | 01/10/2024 |
| Work Description | Cold plane AC pavement and place HMA (A). |
| Location Description | CONSTRUCTION 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 Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 07/20/2023 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 | 07/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4-INCH HMA Types A and B |
| The quantity of what the sample constitutes | LOT 1 SUBLOT 4 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nick | Last name of sampler or witnessed by | Hall |
| Title of sampler | Telephone number of sampler | 7072999133 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vulcan Vallejo Batch Plant | Transportation Laboratory (TL) Number | 727276 |
| 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 |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 4 | HMA Mix Number | 220991W |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||