Sample Record

Owner Lab

  • CT D10 - District Materials Laboratory

DIME Sample ID 2021-07-19-63

Project Information

Project IdentifiersProject ID: 215615
DEA: 101L2304
EFIS: 1020000163
DIST-CO-RTE-PM10-SJ-4-5.4/13.4
Award Date05/05/2021
Closeout Date01/31/2022
Work DescriptionCOLD PLANE ASPHALT CONCRETE PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location DescriptionSAN JOAQUIN COUNTY NEAR STOCKTON FROM 1 MILE EAST OF MIDDLE RIVER BRIDGE TO 0.1 MILE WEST OF JOHN TURK ROAD
QA Service Level1 (Verified on 04/21/2021)

Sample Information

Sample Taken Date07/19/2021 Sample Unique Key63
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 testing07/26/2021
Sample typeVerification A brief description of the sample1/2 RHMA PG 64-16
The quantity of what the sample constitutesJMF 16 boxs From where was the sample collectedManufacturer
First name of sampler or witnessed byTravis Last name of sampler or witnessed byFulkerson
Title of samplerConsultant Tester Telephone number of sampler
Laboratory sample identification21-J-038 Linked DIME Sample ID2021-7-19-38
The fabricator/manufacturer/facility nameGeorge Reed - Clements Plant Transportation Laboratory (TL) NumberC034786
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading1/2 inch Lot number
Sublot number HMA Mix NumberNot set

Submitted Tests

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