Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-08-07-19
Project Information
Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
---|---|
DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
Award Date | 11/16/2017 |
Closeout Date | 12/08/2022 |
Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
Sample Taken Date | 08/07/2020 | Sample Unique Key | 19 |
---|---|---|---|
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" WRHMA-O-SP |
The quantity of what the sample constitutes | 2 cans | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Dennis | Last name of sampler or witnessed by | Yeung |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Hanson Sunol Plant | 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 | JMF3513-2020-189 | Date Created | 08/17/2020 |
---|---|---|---|
JMF Submittal ID | JMF3511-318-2020-271 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | L180095V | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2020-08-07-19-1 CTM 308-August 2010 (Verified)
DIME Test ID: 2020-08-07-19-2 CTM 368-November 2010 (Verified)