Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2023-11-10-63

Project Information

Project IdentifiersProject ID: 994751
DEA: 010C5004
EFIS: 0112000292
DIST-CO-RTE-PM01-HUM-36-11.3/34.6
Award Date03/02/2023
Closeout DateNot set
Work DescriptionProject Name: Bridge Rail Replacement - 3 Bridges
Location DescriptionHely Creek, Little Larabee Creek and Butte Creek Bridge.
QA Service Level1 (Verified on 04/27/2023)

Sample Information

Sample Taken Date11/10/2023 Sample Unique Key63
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 testing12/22/2023
Sample typeVerification A brief description of the sample1/2" RHMA-G - Paving
The quantity of what the sample constitutes1 can RHMA From where was the sample collectedSupplier
First name of sampler or witnessed byJohn Last name of sampler or witnessed byAtturo
Title of samplerPlant QC Telephone number of sampler
Laboratory sample identification23-339 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer Fraser Boyd Road Transportation Laboratory (TL) Number930385
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Benicia CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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