Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2021-08-17-49

Project Information

Project IdentifiersProject ID: 215183
DEA: 101C1704
EFIS: 1014000144
DIST-CO-RTE-PM10-MER-99-R12.7/17.8
Award Date01/22/2021
Closeout DateNot set
Work DescriptionRECONSTRUCT ROADWAY WITH ROADWAY EXCAVATION, PLACE HMA AND CRCP.
Location DescriptionMERCED COUNTY IN MERCED FROM 0.2 MILE SOUTH OF CHILDS AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF FRANKLIN ROAD OVERCROSSING.
QA Service Level1 (Verified on 10/20/2020)

Sample Information

Sample Taken Date08/17/2021 Sample Unique Key49
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 testing08/25/2021
Sample typeVerification A brief description of the sample3/4 WMA-A-SP R 10%
The quantity of what the sample constitutes16 boxes 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-040 Linked DIME Sample ID2021-8-25-40
The fabricator/manufacturer/facility nameSanta Fe Winton Transportation Laboratory (TL) Numberc035062
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeWarm Mix Asphalt Technology Warm Mix Asphalt Technology TypeAdditive Technology
Warm Mix Asphalt Technology Product NameXL9000 Cecabase WMA Mix NumberNot set

Submitted Tests

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