Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2022-04-29-31
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Project Information
| Project Identifiers | Project ID: 993509 DEA: 101K9604 EFIS: 1019000163 |
|---|---|
| DIST-CO-RTE-PM | 10-MER,SJ,TUO-99,205,120-Var |
| Award Date | 02/24/2022 |
| Closeout Date | 10/06/2022 |
| Work Description | REPLACE HMA PAVEMENT AND APPLY HIGH FRICTION SURFACE TREATMENT. |
| Location Description | MERCED, SAN JOAQUIN, AND TUOLUMNE COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 01/18/2022) |
Sample Information
| Sample Taken Date | 04/29/2022 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 05/02/2022 |
| Sample type | Verification | A brief description of the sample | 3/4 HMA-SP 15% Rap |
| The quantity of what the sample constitutes | 16 boxes,5bags,2 cans | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Kort |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | 22-J-007 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | George Reed - Table Mountain Plant | Transportation Laboratory (TL) Number | 730511 |
| 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 | |
| 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. | |||