Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2024-05-16-9
Project Information
Project Identifiers | Project ID: 214135 DEA: 09213404 EFIS: 0900000030 |
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DIST-CO-RTE-PM | 09-INY-395-29.9/41.8 |
Award Date | 10/22/2021 |
Closeout Date | Not set |
Work Description | ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT. |
Location Description | INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE |
QA Service Level | 1 (Verified on 05/03/2019) |
Sample Information
Sample Taken Date | 05/16/2024 | Sample Unique Key | 9 |
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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 | 05/16/2024 |
Sample type | Quality Assurance | A brief description of the sample | AC Cores (4-inch) |
The quantity of what the sample constitutes | 250 Each | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jerid | Last name of sampler or witnessed by | Kupelian |
Title of sampler | Materials Tech 2 | Telephone number of sampler | 8058042482 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Fisher Sand & Gravel Olancha plant | Transportation Laboratory (TL) Number | |
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 |
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HMA Grading | 3/4 inch | Lot number | 1 |
Sublot number | 77 | 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. |