Sample Record

Owner Lab

  • Trinity Engineering Laboratories, Incorporated - Fresno

DIME Sample ID 2019-10-29-24

Project Information

Project IdentifiersProject ID: 214136
DEA: 010F3604
EFIS: 0115000115
DIST-CO-RTE-PM01-HUM-101-R39.2/R48.3
Award Date07/31/2019
Closeout Date01/04/2021
Work DescriptionCOLD PLANE AC PAVEMENT, RHMA OVERLAY, AND GUARDRAIL INSTALLATION.
Location DescriptionHUMBOLDT COUNTY NEAR REDCREST, PEPPERWOOD, AND STAFFORD FROM ENGLWOOD PARK UNDERCROSSING TO EEL RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 06/24/2019)

Sample Information

Sample Taken Date10/29/2019 Sample Unique Key24
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 testing10/29/2019
Sample typeQuality Control A brief description of the sample1/2 RHMA WMA
The quantity of what the sample constitutesRHMA From where was the sample collectedManufacturer
First name of sampler or witnessed byMatthew Last name of sampler or witnessed byHorn
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer Fraser B Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAsphalt Binder Performance GradePG 64-16
ModifiedNo 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

JMF Information

HMA Design IDJMF3512-2019-138-18-1006.124GWMA Date Created10/29/2019
SubmittalN/A

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