Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2021-10-28-46
Project Information
Project Identifiers | Project ID: 215086 DEA: 101G7504 EFIS: 1017000036 |
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DIST-CO-RTE-PM | 01-MER,SJ,STA-5,59,99,152-Var |
Award Date | 11/04/2020 |
Closeout Date | 12/05/2022 |
Work Description | UPGRADE TRAFFIC MONITORING STATIONS. |
Location Description | MERCED, SAN JOAQUIN AND STANISLAUS COUNTIES AT VARIOUS LOCATIONS. |
QA Service Level | 1 (Verified on 08/03/2020) |
Sample Information
Sample Taken Date | 10/28/2021 | Sample Unique Key | 46 |
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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 | 11/01/2021 |
Sample type | Verification | A brief description of the sample | 3/4 HMA-A -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 | C035069 | Linked DIME Sample ID | 2021-11-1-21 |
The fabricator/manufacturer/facility name | Teichert Materials Vernalis | Transportation Laboratory (TL) Number | C035069 |
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 |
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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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |