Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2021-01-26-17

Project Information

Project IdentifiersProject ID: 215093
DEA: 101C2804
EFIS: 1014000134
DIST-CO-RTE-PM10-SJ-99-30.9/31.3
Award Date10/21/2020
Closeout Date08/30/2023
Work DescriptionRAISED BRIDGES, REALIGN RAMPS AND CONSTRUCT AUXILIARY LANE.
Location DescriptionSAN 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 Level1 (Verified on 08/21/2020)

Sample Information

Sample Taken Date01/26/2021 Sample Unique Key17
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 testing01/28/2021
Sample typeVerification A brief description of the sample1/2 HMA Type A
The quantity of what the sample constitutes16 boxes of mix From where was the sample collectedManufacturer
First name of sampler or witnessed byJason Last name of sampler or witnessed byDehoff
Title of samplerMREA Telephone number of sampler209-610-0809
Laboratory sample identification21-J-02 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) NumberC033963
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