Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-09-23-2

Project Information

Project IdentifiersProject ID: 1000062
DEA: 061F8204
EFIS: 0623000100
DIST-CO-RTE-PM06-FRE-168-39.6/45.7
Award Date05/10/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, HMA (TYPE A), PAINT TRAFFIC STRIPES.
Location DescriptionFRESNO COUNTY IN AND NEAR SHAVER LAKE FROM 0.2 MILE WEST OF CRESSMAN ROAD TO WARBLER ROAD
QA Service Level1 (Verified on 01/29/2024)

Sample Information

Sample Taken Date09/23/2024 Sample Unique Key2
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 testing09/23/2024
Sample typeAcceptance A brief description of the sample3/4 HMA sp
The quantity of what the sample constitutes125 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byJonathon Last name of sampler or witnessed byChaney
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Ashlan 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 Grading3/4 inch Lot number1
Sublot number3 HMA Mix Number221105

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments