Sample Record

Owner Lab

  • CT D02 - Redding Northern Regional Laboratory

DIME Sample ID 2023-09-14-55

Project Information

Project IdentifiersProject ID: 215157
DEA: 021H5704
EFIS: 0216000036
DIST-CO-RTE-PM02-SHA-299-67.8/77.8
Award Date02/09/2023
Closeout Date06/11/2024
Work DescriptionBURNEY CAPM - PAVEMENT REHABILITATION
Location DescriptionBUNCH GRASS LOOKOUT RD TO NAPA LN
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date09/14/2023 Sample Unique Key55
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 testing09/14/2023
Sample typeDepartment Acceptance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes8 Boxes 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 sampler
Laboratory sample identificationD79347 Linked DIME Sample ID
The fabricator/manufacturer/facility nameJF Shea Fawndale Transportation Laboratory (TL) Number857915
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number

Submitted Tests

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

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Test File Attachments