Sample Record

Owner Lab

  • CT D09 - Field Laboratory

DIME Sample ID 2018-07-02-9

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 Date07/02/2018 Sample Unique Key9
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 sampleSTN 10199P25 NB1 124 tons
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byMokhtar Last name of sampler or witnessed byOuahmane
Title of samplerMaterials Tester Telephone number of sampler7609374594
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 TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot numberNot set
Sublot numberNot set HMA Design ID
HMA PayNo

Submitted Tests

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