Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2018-01-11-3

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date01/11/2018 Sample Unique Key3
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 testing01/11/2018
Sample typeVerification A brief description of the samplemy first try at entering a record
The quantity of what the sample constitutes750 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byPete Spector Last name of sampler or witnessed byPete Spector
Title of samplerRE Telephone number of sampler916-227-7306
Laboratory sample identificationbeta test 01 Linked DIME Sample IDi would have enetered a linke dime ID here
The fabricator/manufacturer/facility nameGranite Construction Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormLot 1, sublot 8 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot numberNot set
Sublot numberNot set HMA Mix NumberNot set

JMF Information

Verification IDJMF3513-2017-6 Date Created12/22/2017
JMF Submittal IDJMF3511-186-2017-9 JMF StatusSubmittal Authorized For Use
Producer Mix IDNot set Authorized Date03/13/2018

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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