Sample Record

Owner Lab

  • CT D09 - Field Laboratory

DIME Sample ID 2021-06-04-6

Project Information

Project IdentifiersProject ID: 215536
DEA: 09383504
EFIS: 0920000044
DIST-CO-RTE-PM09-MNO-395-R40.1/R44.8
Award Date05/13/2021
Closeout Date11/30/2021
Work DescriptionPLACE HMA OVER EXISTING PAVEMENT.
Location DescriptionMONO COUNTY ABOUT 7 MILES SOUTH OF LEE VINING FROM 0.2 MILE SOUTH OF ROUTE 158 TO 0.6 MILE NORTH OF LA AQUEDUCT BRIDGE
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date06/04/2021 Sample Unique Key6
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 testing06/07/2021
Sample typeVerification A brief description of the sample1/2" HMA-A-SP & Aggs
The quantity of what the sample constitutes16 Boxes of HMA & 3 Bags of Agg + RAP From where was the sample collectedSource
First name of sampler or witnessed byColton Last name of sampler or witnessed byCarrington
Title of samplerTET Telephone number of sampler
Laboratory sample identification2154 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction - Lee Vining Plant 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 JMF Verification ID JMF3512-2021-71-13769

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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