Sample Record

Owner Lab

  • CT D10 - District Materials Laboratory

DIME Sample ID 2021-10-14-74

Project Information

Project IdentifiersProject ID: 208942
DEA: 100Y2104
EFIS: 1013000104
COOP: 10415
DIST-CO-RTE-PM10-TUO-108-R4.3/R5.1
Award Date07/17/2020
Closeout DateNot set
Work DescriptionMODIFY AND WIDEN STRUCTURE
Location DescriptionAT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS
QA Service Level1 (Verified on 12/06/2013)

Sample Information

Sample Taken Date10/14/2021 Sample Unique Key74
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 testing10/15/2021
Sample typeVerification A brief description of the sample3/4 HMA-A-SP, R12%
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 byKort
Title of samplerConsultant Tester Telephone number of sampler
Laboratory sample identification21-J-042 Linked DIME Sample ID2021-10-15-42
The fabricator/manufacturer/facility nameGeorge Reed - Table Mountain Plant Transportation Laboratory (TL) NumberC1081014
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 Grading3/4 inch Lot number
Sublot number JMF Verification ID

Submitted Tests

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