Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2024-07-10-29

Project Information

Project IdentifiersProject ID: 994330
DEA: 09366404
EFIS: 0916000006
DIST-CO-RTE-PM09-MNO-395-58.2/60.4
Award DateNot set
Closeout DateNot set
Work DescriptionHOT MIX ASPHALT (TYPE A), IMPORTED BORROW, AND ROADWAY EXCAVATION.
Location DescriptionMONO COUNTY ABOUT 6 MILES NORTH OF LEE VINING FROM ROUTE 167 TO 0.4 MILE NORTH OF CONWAY RANCH ROAD
QA Service Level1 (Verified on 07/31/2023)

Sample Information

Sample Taken Date07/10/2024 Sample Unique Key29
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 testing07/10/2024
Sample typeVerification A brief description of the sample1/2" HMA Type A PG58-34M R15
The quantity of what the sample constitutesJMF Verification From where was the sample collectedSource
First name of sampler or witnessed byDerek Last name of sampler or witnessed byCarrington
Title of samplerMREAS Telephone number of sampler7609208313
Laboratory sample identificationJMF-01 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Lee Vining Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number
Sublot number HMA Mix Number

Submitted Tests

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