Sample Record
Owner Lab
- CT D01 - Fortuna Field Laboratory
DIME Sample ID 2024-06-28-65
Project Information
| Project Identifiers | Project ID: 994671 DEA: 010H8004 EFIS: 0118000110 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-254-4.3/4.7 |
| Award Date | 03/10/2023 |
| Closeout Date | 12/02/2025 |
| Work Description | Project Name: Myers Flat Permanent Restoration |
| Location Description | Bridge No. 04E0041 |
| QA Service Level | 1 (Verified on 04/11/2023) |
Sample Information
| Sample Taken Date | 06/28/2024 | Sample Unique Key | 65 |
|---|---|---|---|
| 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 | 07/02/2024 |
| Sample type | Quality Assurance | A brief description of the sample | HMA Type A SP R15 #23-154 |
| The quantity of what the sample constitutes | 750 Tons, Lot 1-2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Gary | Last name of sampler or witnessed by | Manich |
| Title of sampler | ARE | Telephone number of sampler | 7074995529 |
| Laboratory sample identification | Linked DIME Sample ID | 2024-06-28-64 | |
| The fabricator/manufacturer/facility name | Kernen Blue Lake Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 2 | HMA Mix Number | 23 154 |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-28-65-1 AASHTO T166-16 (Verified)
DIME Test ID: 2024-06-28-65-2 AASHTO T209-22 (Verified)
DIME Test ID: 2024-06-28-65-3 AASHTO T308-10 (Verified)
DIME Test ID: 2024-06-28-65-4 AASHTO T308-10 (Verified)
