Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2019-06-24-13

Project Information

Project IdentifiersProject ID: 213793
DEA: 060W7004
EFIS: 0617000283
DIST-CO-RTE-PM06-FRE-33-24.3/R29.0,R39.9/44.5
Award Date01/24/2019
Closeout Date08/20/2021
Work DescriptionCOLD PLANE AC PAVEMENT, PLACE HMA RESURFACING.
Location DescriptionFRESNO COUNTY ABOUT 7.8 MILES NORTH OF COALINGA FROM NORTH JUNCTION ROUTE 198 TO SOUTH JUNCTION ROUTE 33/5 AND FROM 0.1 MILE NORTH OF NORTH JUNCTION ROUTE 33/5 TO EL PROGRESSIO ROAD
QA Service Level1 (Verified on 01/09/2019)

Sample Information

Sample Taken Date06/24/2019 Sample Unique Key13
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 testing06/24/2019
Sample typeDispute Resolution A brief description of the sample1/2 inch HMA 15%RAP
The quantity of what the sample constitutes1 From where was the sample collectedSource
First name of sampler or witnessed byM stavro Last name of sampler or witnessed byPaulos
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMillbrook construction Fresno Papich Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot numberUnknown
Sublot numberUnknown HMA Mix NumberNot set

Submitted Tests

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

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Test File Attachments