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Sample Record for 2018-12-03-3

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

Project Information

Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: YYZ
Contractor Address: 1234 address, Sacramento, CA 95824
Resident Engineer: RE_first RE_last Structure Rep.: SR_First SR_Last

Sample Information

DIME Sample ID: 2018-12-03-3
TL Number from the TL Form: 09
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: 12/03/2018
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2018
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: Unknown
From where was the sample collected: Job Site
Laboratory sample identification: HMA 02
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Rock

Material Information

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

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2018-12-03-3-1AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)12/03/201812/04/2018Lee ScoteseCT D09 - Field LaboratoryThis box is called "Comments about this Test" and would normally be entered by the REDerek Carrington
2018-12-03-3-2AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)12/03/201812/04/2018Lee ScoteseCT D09 - Field LaboratoryComments about this Test: Did this get emailed? DC has been added to project.Derek Carrington
2018-12-03-3-3AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)12/03/201812/03/2018Lee ScoteseCT D09 - Field LaboratoryLee Scotese
2018-12-03-3-4AASHTO T269-14: Standard Method of Test for Percent Air Voids in Compacted Dense and Open Asphalt Mixtures (Air Void)12/05/2018Not scheduledLee ScoteseCT D09 - Field Laboratory
2018-12-03-3-5AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)12/05/2018Not scheduledLee ScoteseCT D09 - Field Laboratory
2018-12-03-3-6AASHTO T308-10: Standard Method of Test for Determining the Asphalt Binder Content of Hot Mix Asphalt (HMA) by the Ignition Method (Asphalt Binder Content)12/05/201812/11/2018Lee ScoteseCT D09 - Field LaboratoryDerek Carrington