Sample Record
Owner Lab
- CT D01 - Field Laboratory
DIME Sample ID 2018-01-20-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212852 DEA: 010H7604 EFIS: 0118000101 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-33.0/42.0 |
| Award Date | 10/10/2017 |
| Closeout Date | 08/06/2020 |
| Work Description | Fire Damage Repairs: Roadway Repair, Drainage/Slope Repair, Erosion Control, Fencing, MBGR and Sign Replacement, Hazard Tree and Debris Removal. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 01/26/2018) |
Sample Information
| Sample Taken Date | 01/20/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 02/20/2018 |
| Sample type | Quality Control | A brief description of the sample | 1/2 in HMA WRAP |
| The quantity of what the sample constitutes | renewal | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | a | Last name of sampler or witnessed by | e |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | granite ukiah | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | Not set |
| Sublot number | Not set | HMA Design ID | JMF3512-2018-20-1060_1/2"HMA64-16R15LAS-SP |
| HMA Pay | No |