Sample Record

Owner Lab

  • CT D10 - District Materials Laboratory

DIME Sample ID 2021-11-15-53

Project Information

Project IdentifiersProject ID: 214395
DEA: 103A7204
EFIS: 1013000259
DIST-CO-RTE-PM10-MER-99-20.1/24.3
Award Date12/12/2019
Closeout DateNot set
Work DescriptionPLACE CRCP AND HMA.
Location DescriptionMERCED COUNTY IN AND NEAR ATWATER FROM 0.4 MILE SOUTH OF BUHACH OVERCROSSING TO 0.8 MILE NORTH OF WEST ATWATER OVERHEAD
QA Service Level1 (Verified on 09/13/2019)

Sample Information

Sample Taken Date11/15/2021 Sample Unique Key53
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 testing11/16/2021
Sample typeVerification A brief description of the sample1/2 HMA-A- R10%
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-044 Linked DIME Sample ID2021-11-16-44
The fabricator/manufacturer/facility nameSanta Fe Aggregate Winton Transportation Laboratory (TL) Number
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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