Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2018-07-01-5

Project Information

Project IdentifiersProject ID: 212408
DEA: 09350804
EFIS: 0900020055
DIST-CO-RTE-PM09-MNO-395-80.6/84.1
Award Date07/14/2017
Closeout Date01/06/2020
Work DescriptionCONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location DescriptionMONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
QA Service Level1 (Verified on 05/03/2018)

Sample Information

Sample Taken Date07/01/2018 Sample Unique Key5
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleLoad 25 L6 SL1 74Tons
The quantity of what the sample constitutes1 Day From where was the sample collectedJob Site
First name of sampler or witnessed byMokhtar Last name of sampler or witnessed byOuahmane
Title of samplerPlant Inspector Telephone number of sampler7609378955
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRoad and Highway Builders Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG58-34M
ModifiedNot set Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Asphalt Binder SupplierNot set MultigradeNot set
Multigrade TypeNot set HMA Design ID
HMA PayNo

Submitted Tests

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