Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2017-12-06-2

Project Information

Project IdentifiersProject ID: 211264
DEA: 09361304
EFIS: 0915000050
DIST-CO-RTE-PM09-INY-395-R122.3/R129.5
Award Date06/22/2016
Closeout Date08/08/2018
Work DescriptionCONSTRUCT RUBBERIZED HOT MIX ASPHALT OVERLAY.
Location DescriptionINYO COUNTY ABOUT 9 MILES NORTH OF BISHOP FROM 0.3 MILE SOUTH OF PLEASANT VALLEY DAM ROAD TO MONO COUNTY LINE
QA Service Level1 (Verified on 09/21/2016)

Sample Information

Sample Taken Date12/06/2017 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 testing12/07/2017
Sample typeQuality Assurance A brief description of the sample1/2 RHMA PG 64-16
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byLee Last name of sampler or witnessed byScotese
Title of samplerRE Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameGranite Rock Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading1/2 inch Lot numberNot set
Sublot numberNot set HMA Mix NumberNot set

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