Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2018-07-01-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212408 DEA: 09350804 EFIS: 0900020055 |
|---|---|
| DIST-CO-RTE-PM | 09-MNO-395-80.6/84.1 |
| Award Date | 07/14/2017 |
| Closeout Date | 01/06/2020 |
| Work Description | CONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM. |
| Location Description | MONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD |
| QA Service Level | 1 (Verified on 05/03/2018) |
Sample Information
| Sample Taken Date | 07/01/2018 | Sample Unique Key | 5 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Load 25 L6 SL1 74Tons |
| The quantity of what the sample constitutes | 1 Day | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mokhtar | Last name of sampler or witnessed by | Ouahmane |
| Title of sampler | Plant Inspector | Telephone number of sampler | 7609378955 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Road and Highway Builders | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG58-34M |
|---|---|---|---|
| Modified | Not set | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
| HMA Pay | No |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||