Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2021-10-14-74
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208942 DEA: 100Y2104 EFIS: 1013000104 COOP: 10415 |
|---|---|
| DIST-CO-RTE-PM | 10-TUO-108-R4.3/R5.1 |
| Award Date | 07/17/2020 |
| Closeout Date | 05/11/2023 |
| Work Description | MODIFY AND WIDEN STRUCTURE |
| Location Description | AT PEACEFUL OAK ROAD INTERCHANGE ,PART OF EAST SONORA BYPASS |
| QA Service Level | 1 (Verified on 12/06/2013) |
Sample Information
| Sample Taken Date | 10/14/2021 | Sample Unique Key | 74 |
|---|---|---|---|
| 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 | 10/15/2021 |
| Sample type | Verification | A brief description of the sample | 3/4 HMA-A-SP, R12% |
| The quantity of what the sample constitutes | 16 boxes of mix | 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-042 | Linked DIME Sample ID | 2021-10-15-42 |
| The fabricator/manufacturer/facility name | George Reed - Table Mountain Plant | Transportation Laboratory (TL) Number | C1081014 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 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. | |||