Sample Record
Owner Lab
- CT HQ - Hot Mix Asphalt Laboratory
DIME Sample ID 2021-01-15-6
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 99999 DEA: 0322222 |
|---|---|
| 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 TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| Location Description | THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES. |
| QA Service Level | (Verified on 04/05/2013) |
Sample Information
| Sample Taken Date | 01/15/2021 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 01/22/2021 |
| Sample type | Verification | A brief description of the sample | RAP |
| The quantity of what the sample constitutes | 1 bag RAP | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Donald | Last name of sampler or witnessed by | Zuniga |
| Title of sampler | Telephone number of sampler | 4084215620 | |
| Laboratory sample identification | 01-20 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Stockpile |
|---|---|---|---|
| Aggregate Size | Aggregate Source | ||
| RAP Stockpile | Stockpile Size (tons) | ||
| JMF Verification ID | JMF3513-2021-7 |