Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2023-09-14-55
Project Information
Project Identifiers | Project ID: 215157 DEA: 021H5704 EFIS: 0216000036 |
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DIST-CO-RTE-PM | 02-SHA-299-67.8/77.8 |
Award Date | 02/09/2023 |
Closeout Date | 06/11/2024 |
Work Description | BURNEY CAPM - PAVEMENT REHABILITATION |
Location Description | BUNCH GRASS LOOKOUT RD TO NAPA LN |
QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
Sample Taken Date | 09/14/2023 | Sample Unique Key | 55 |
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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 | 09/14/2023 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" RHMA-G |
The quantity of what the sample constitutes | 8 Boxes | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | D79347 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | JF Shea Fawndale | Transportation Laboratory (TL) Number | 857915 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
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HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |