Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2021-06-07-10

Project Information

Project IdentifiersProject ID: 215042
DEA: 100TST04
EFIS: 1020999999
Award DateNot set
Closeout DateNot set
Work DescriptionThis is just a test EA, not tied to an actual project at all. Don't believe anything you read.
Location DescriptionNot set
QA Service Level1 (Verified on 06/29/2020)

Sample Information

Sample Taken Date06/07/2021 Sample Unique Key10
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 testing06/08/2021
Sample typeVerification A brief description of the sampleRAP
The quantity of what the sample constitutes2 Bags of RAP From where was the sample collectedSupplier
First name of sampler or witnessed byColton Last name of sampler or witnessed byCarrington
Title of samplerTET Telephone number of sampler7609378888
Laboratory sample identification2154 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceHot Plant Stockpile
Aggregate Size3/8 Aggregate SourceGranite
RAP StockpileContinuous Stockpile Size (tons)
Reclaimed Asphalt Pavement Mix NumberNot set

JMF Information

HMA Design IDJMF3512-2021-71-13769 Date Created06/09/2021
SubmittalJMF3511-175-2021-73 Submittal Completeness in Review| JMF3513-2023-30

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments