Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2021-10-28-46

Project Information

Project IdentifiersProject ID: 215086
DEA: 101G7504
EFIS: 1017000036
DIST-CO-RTE-PM01-MER,SJ,STA-5,59,99,152-Var
Award Date11/04/2020
Closeout Date12/05/2022
Work DescriptionUPGRADE TRAFFIC MONITORING STATIONS.
Location DescriptionMERCED, SAN JOAQUIN AND STANISLAUS COUNTIES AT VARIOUS LOCATIONS.
QA Service Level1 (Verified on 08/03/2020)

Sample Information

Sample Taken Date10/28/2021 Sample Unique Key46
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 testing11/01/2021
Sample typeVerification A brief description of the sample3/4 HMA-A -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 identificationC035069 Linked DIME Sample ID2021-11-1-21
The fabricator/manufacturer/facility nameTeichert Materials Vernalis Transportation Laboratory (TL) NumberC035069
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 HMA Mix NumberNot set

Submitted Tests

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

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Test File Attachments