Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-12-03-53
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214523 DEA: 07302504 EFIS: 0713000479 |
---|---|
DIST-CO-RTE-PM | 07-VEN-23-R3.3/R11.5 |
Award Date | 02/06/2020 |
Closeout Date | Not set |
Work Description | PLACE HMA AND JPCP AND INDIVIDUAL SLAB REPLACEMENT. |
Location Description | VENTURA COUNTY FROM ROUTE 101/23 SEPARATION TO NEW LOS ANGELES AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 03/17/2020) |
Sample Information
Sample Taken Date | 12/03/2021 | Sample Unique Key | 53 |
---|---|---|---|
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 | 01/07/2022 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" hma - a220831 sva sjr |
The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Willson |
Title of sampler | g3 qc | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | na | |
The fabricator/manufacturer/facility name | 21-0477-1 | Transportation Laboratory (TL) Number | |
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 | 1 |
Sublot number | HMA Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2021-12-03-53-1 AASHTO T275-07r12 (Verified)