Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2022-01-10-37
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Project Information
| Project Identifiers | Project ID: 215417 DEA: 101K9304 EFIS: 1020000014 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-VAR,580-VAR |
| Award Date | 04/29/2021 |
| Closeout Date | 06/27/2022 |
| Work Description | BRIDGE DECKS INVESTIGATION AND REHABILITATION IN AND NEAR TRACY |
| Location Description | SJ CTY IN & NEAR TRACY FROM GAFFERY RD TO EAST MIDWAY |
| QA Service Level | 1 (Verified on 01/04/2021) |
Sample Information
| Sample Taken Date | 01/10/2022 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 01/11/2022 |
| Sample type | Verification | A brief description of the sample | 1/2" HMA-A |
| The quantity of what the sample constitutes | 4 bags, 16 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Cozad |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | 22-J-001 | |
| The fabricator/manufacturer/facility name | Teichert Materials Vernalis | Transportation Laboratory (TL) Number | 034276 |
| 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 | 1/2 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. | |||