DIME - Sample Record for DIME Sample ID 2022-09-26-59

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Sample Record

Owner Lab

CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2022-09-26-59

Project Information

Project Identifiers	Project ID: 993590 DEA: 101J2004 EFIS: 1018000147
DIST-CO-RTE-PM	10-SJ-26-8.0/17.8
Award Date	04/12/2022
Closeout Date	05/10/2023
Work Description	COLD PLANE AND HMA OVERLAY.
Location Description	SAN JOAQUIN COUNTY AT AND NEAR LINDEN AT VARIOUS LOCATIONS FROM 0.7 MILE EAST OF GOGNA ROAD TO 1.3 MILES WEST OF SHELLEY ROAD
QA Service Level	1 (Verified on 03/01/2022)

Sample Information

Sample Taken Date	09/26/2022	Sample Unique Key	59
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	09/26/2022
Sample type	Informational	A brief description of the sample	3/4" HMA-A
The quantity of what the sample constitutes	24 boxes	From where was the sample collected	Source
First name of sampler or witnessed by	Unknown	Last name of sampler or witnessed by	Unknown
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	George Reed - Clements	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
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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