Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2018-07-27-11

Project Information

Project IdentifiersProject ID: 213121
DEA: 09373504
EFIS: 0918000003
DIST-CO-RTE-PM09-MNO-395-93.7/106.3
Award Date04/24/2018
Closeout Date12/02/2019
Work DescriptionCONSTRUCT HOT MIX ASPHALT OVER COLD IN-PLACE RECYCLED PAVEMENT.
Location DescriptionMONO COUNTY NEAR WALKER FROM ROUTE 108 TO EASTSIDE LANE
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date07/27/2018 Sample Unique Key11
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 sampleHMA Binder
The quantity of what the sample constitutes750 Tons From where was the sample collectedFabricator
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPuente
Title of sampler Telephone number of sampler6192046684
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) Formload 8 lot 1 SL8 931 Tons Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance Grade PG64-28M
ModifiedNot set Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set
HMA PayNo

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments