Sample Record for 2024-01-23-1

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: 2024-01-23-1

TL Number from the TL Form:

Sample Submitted By Organization: Caltrans IA

Sample Organization Contact: (916) 240-3821

Type of Sample: Quality Assurance

Type of Material: Hot Mix Asphalt

Sample Taken Date: 01/23/2024

Date that the sample was received by the laboratory/organization performing the testing: 01/23/2024

The quantity of what the sample constitutes: 0

A brief description of the sample: 0

From where was the sample collected: Source

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: 0

Material Information

HMA Type: Type A HMA

HMA Grading: 3/8 inch

Lot number:

Sublot number:

HMA Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2024-01-23-1-1

Test Method: AASHTO T283-14: Standard Method of Test for Resistance of Compacted Asphalt Mixtures to Moisture-Induced Damage (Moisture Content)

Submitted By Organization: Caltrans IA

Organization Address: 13970 Victoria Street,

Organization City: Fontana

Organization State: CA

Organization Zipcode: 92336

Organization Email: robby.rodriguez@dot.ca.gov

Organization Phone: (916) 240-3821

Data has not been verified.

Test 2 of 2

DIME Test ID: 2024-01-23-1-2