Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2018-08-16-9
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Project Information
| Project Identifiers | Project ID: 213297 DEA: 010H3704 EFIS: 0117000165 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-20-33.6/37.1,45.2/46.5 |
| Award Date | 06/07/2018 |
| Closeout Date | 12/04/2018 |
| Work Description | RUBBERIZED HOT MIX ASPHALT - GAP GRADED AND MIDWEST GUARDRAIL SYSTEM |
| Location Description | LAKE COUNTY NEAR CLEARLAKE OAKS FROM 0.6 MILE EAST OF NEW LONG VALLEY ROAD TO NORTH FORK CACHE CREEK BRIDGE AND FROM 1.4 MILES EAST OF ABBOT MINE ROAD TO COLUSA COUNTY LINE |
| QA Service Level | 1 (Verified on 04/27/2018) |
Sample Information
| Sample Taken Date | 08/16/2018 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 08/18/2018 |
| Sample type | Verification | A brief description of the sample | 1/2 in RHMA-G |
| The quantity of what the sample constitutes | JMF Verification | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | jack | Last name of sampler or witnessed by | martin |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Granite HWY 175 | 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 | RHMA-G |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | Not set |
| Sublot number | Not set | HMA Mix Number | Not set |
| HMA Pay | No |
JMF Information
| HMA Design ID | JMF3512-2018-52-1346_1/2"RHMA64-16LAS-SP | Date Created | 08/29/2018 |
|---|---|---|---|
| Submittal | JMF3511-21-2018-45 Submittal Accepted for Verification| JMF3513-2018-44 |
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. | |||