Sample Record

Owner Lab

  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2022-05-06-8

Project Information

Project IdentifiersProject ID: 993169
DEA: 050A0904
EFIS: 0513000028
DIST-CO-RTE-PM05-MON-156-R1.4/R2.0
Award Date12/14/2021
Closeout DateNot set
Work DescriptionWIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location DescriptionMONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
QA Service Level1 (Verified on 08/17/2021)

Sample Information

Sample Taken Date05/06/2022 Sample Unique Key8
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 testing05/12/2022
Sample typeAnnual Source Testing A brief description of the samplemix
The quantity of what the sample constitutes750 From where was the sample collectedSource
First name of sampler or witnessed bywitness Last name of sampler or witnessed bywintess
Title of sampler Telephone number of sampler
Laboratory sample identificationnumbers Linked DIME Sample ID
The fabricator/manufacturer/facility nameplant 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 number1
Sublot number2 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