Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-10-10-22

Project Information

Project IdentifiersProject ID: 993855
DEA: 060U4604
EFIS: 0615000309
DIST-CO-RTE-PM06-KIN-41-20.0-28.4
Award Date06/30/2023
Closeout DateNot set
Work DescriptionCOLD CENTRAL PLANT RECYCLING, HMA AND HMA-OGFC.
Location DescriptionKINGS COUNTY NEAR KETTLEMAN CITY FROM 0.1 MILE SOUTH OF QUAIL AVENUE TO NEVADA AVENUE
QA Service Level1 (Verified on 05/20/2022)

Sample Information

Sample Taken Date10/10/2023 Sample Unique Key22
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 testing10/10/2023
Sample typeDepartment Acceptance A brief description of the sample3/4 HMA
The quantity of what the sample constitutes1800 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byArthur Last name of sampler or witnessed byMills
Title of sampler Telephone number of sampler8033087727
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Coalinga Transportation Laboratory (TL) Number
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 number17 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