Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2021-03-16-16
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215093 DEA: 101C2804 EFIS: 1014000134 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-99-30.9/31.3 |
| Award Date | 10/21/2020 |
| Closeout Date | 08/30/2023 |
| 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 | 03/16/2021 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 03/02/2021 |
| Sample type | Verification | A brief description of the sample | 1/2 RHMA G PG64-16 Valero B |
| The quantity of what the sample constitutes | JMF 16 boxs | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Kort |
| Title of sampler | Consultant Tester | Telephone number of sampler | |
| Laboratory sample identification | 21-J-011 | Linked DIME Sample ID | 2021-4-13 |
| The fabricator/manufacturer/facility name | George Reed - Clements Plant | Transportation Laboratory (TL) Number | C034715 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
|---|---|---|---|
| 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. | |||