Sample Record

Owner Lab

  • CT HQ - Sacramento Hot Mix Asphalt Laboratory

DIME Sample ID 2021-04-27-27

Project Information

Project IdentifiersProject ID: 214511
DEA: 010E0004
EFIS: 0113000091
DIST-CO-RTE-PM01-HUM-101-84.4/84.8
Award Date01/29/2020
Closeout Date11/22/2023
Work DescriptionBRIDGE RAIL REPLACEMENT.
Location DescriptionHUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
QA Service Level1 (Verified on 11/13/2019)

Sample Information

Sample Taken Date04/27/2021 Sample Unique Key27
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 testing05/25/2021
Sample typeDispute Resolution A brief description of the sample1/2" HMA NO RAP
The quantity of what the sample constitutes_ From where was the sample collectedManufacturer
First name of sampler or witnessed by_ Last name of sampler or witnessed by_
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMercer Fraser - Fortuna Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number
Sublot number HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments