Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2020-07-31-15
Project Information
Project Identifiers | Project ID: 214901 DEA: 044Q3304 EFIS: 0419000378 |
---|---|
DIST-CO-RTE-PM | 04-CC-24-R0.4/1.0 |
Award Date | 06/12/2020 |
Closeout Date | 04/12/2021 |
Work Description | COLD PLANE PAVEMENT AND OVERLAY WITH RUBBERIZED HOT MIX ASPHALT. |
Location Description | CONTRA COSTA COUNTY FROM FISH RANCH ROAD TO 0.2 MILE WEST OF GATEWAY BOULEVARD OVERCROSSING |
QA Service Level | 1 (Verified on 10/19/2020) |
Sample Information
Sample Taken Date | 07/31/2020 | Sample Unique Key | 15 |
---|---|---|---|
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 | 07/31/2020 |
Sample type | Verification | A brief description of the sample | WMA 1/2 asphalt sample |
The quantity of what the sample constitutes | 4 boxes | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Plant Technician | Last name of sampler or witnessed by | Plant Technician |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | DSG Sonul | 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 | JMF3513-2020-190 | Date Created | 08/19/2020 |
---|---|---|---|
JMF Submittal ID | JMF3511-318-2020-274 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | MD6653 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2020-07-31-15-1 CTM 368-November 2010 (Verified)
DIME Test ID: 2020-07-31-15-2 CTM 368-November 2010 (Verified)
DIME Test ID: 2020-07-31-15-3 CTM 308-August 2010 (Verified)