Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-11-30-43
Project Information
Project Identifiers | Project ID: 995320 DEA: 072XC604 EFIS: 0723000084 |
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DIST-CO-RTE-PM | 07-VEN-33-12.6/16.5, 12.6/23.75 |
Award Date | 01/09/2023 |
Closeout Date | Not set |
Work Description | Remove the mud and debris from the roadway, repair the eroded slopes, clean the drainage systems and basins, repair the damaged shoulders and roadside signs and markers, and fix the compromised drainage system |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/27/2023) |
Sample Information
Sample Taken Date | 11/30/2023 | Sample Unique Key | 43 |
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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 | 12/01/2023 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A 13762 |
The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Pham |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | 23-546 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Granite Santa Paula | Transportation Laboratory (TL) Number | 1130A2 |
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 | |
Sublot number | HMA Mix Number | 13762 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-11-30-43-1 AASHTO T209-22 (Verified)
DIME Test ID: 2023-11-30-43-2 AASHTO T308-10 (Verified)