Sample Record
Owner Lab
- CT D10 - District Materials Laboratory
DIME Sample ID 2021-01-26-17
Project Information
| Project Identifiers | Project ID: 215093 DEA: 101C2804 EFIS: 1014000134 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-99-30.9/31.3 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | RAISED BRIDGES, REALIGN RAMPS AND CONSTRUCT AUXILIARY LANE. |
| Location Description | SAN JOAQUIN COUNTY IN LODI FROM 0.4 MILE SOUTH OF ROUTE 12/99 SEPARATION TO 0.3 MILE SOUTH OF TURNER ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/21/2020) |
Sample Information
| Sample Taken Date | 01/26/2021 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 01/28/2021 |
| Sample type | Verification | A brief description of the sample | 1/2 HMA Type A |
| The quantity of what the sample constitutes | 16 boxes of mix | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Dehoff |
| Title of sampler | MREA | Telephone number of sampler | 209-610-0809 |
| Laboratory sample identification | 21-J-02 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | George Reed - Clements Plant | Transportation Laboratory (TL) Number | C033963 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||