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Sample Record for 2023-02-09-21

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-02-09-21
TL Number from the TL Form: 22-044
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Verification
Type of Material: Hot Mix Asphalt
Sample Taken Date: 02/09/2023
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 1/2" HMA-A PG 58-22 25% RAP
From where was the sample collected: Manufacturer
Laboratory sample identification: 22-044
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Mercer Fraser B

Material Information

HMA Type: Type A HMA
HMA Grading: 1/2 inch
Lot number:
Sublot number:
HMA Mix Number:

Test Results