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Sample Record for 2018-06-29-15

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212408 DEA: 09350804 EFIS: 0900020055 QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-80.6/84.1
Work Description: CONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location Description: MONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: PO BOX 2210, PISMO BEACH PO BOX 2210 CA 9344
Resident Engineer: Lee Scotese Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-06-29-15
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/29/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: STN 10262P00NB1 4200 Tons
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hunewell

Material Information

HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number:
Sublot number:

Test Results

Test 1 of 2

DIME Test ID: 2018-06-29-15-1
Test Method: AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)
Submitted By Organization: CT D09 - Field Laboratory
Organization Address: 500 S Main St,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: tim.shultz@dot.ca.gov
Organization Phone: (760) 872-5211
Data has not been verified.

Test 2 of 2

DIME Test ID: 2018-06-29-15-2
Test Method: AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)
Submitted By Organization: CT D09 - Field Laboratory
Organization Address: 500 S Main St,
Organization City: Bishop
Organization State: CA
Organization Zipcode: 93514
Organization Email: tim.shultz@dot.ca.gov
Organization Phone: (760) 872-5211
Data has not been verified.

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.