Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-06-23-36
Project Information
Project Identifiers | Project ID: 9999 DEA: 00000000 EFIS: 0000000000 COOP: 99999333399 MINOR: 333333 Permit Numbers: 555555 0400NRT0000 |
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DIST-CO-RTE-PM | 03-SAC,OMG-888,99,80-0.6-0.6 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME DEVELOPERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
QA Service Level | 1 (Verified on 04/05/2013) |
Sample Information
Sample Taken Date | 06/23/2020 | Sample Unique Key | 36 |
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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 testing | Not set |
Sample type | Verification | A brief description of the sample | 1/2" RHMA-O |
The quantity of what the sample constitutes | 4 cans | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | H | Last name of sampler or witnessed by | B |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Hanson Sunol | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | OGFC |
---|---|---|---|
HMA Grading | 1/2 inch | Lot number | |
Sublot number | HMA Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2020-180 | Date Created | 08/06/2020 |
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JMF Submittal ID | JMF3511-318-2020-262 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | L180095 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-06-23-36-1 CTM 368-November 2010 (Verified)
DIME Test ID: 2020-06-23-36-2 CTM 308-August 2010 (Verified)