Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2022-05-10-24

Project Information

Project IdentifiersProject ID: 215183
DEA: 101C1704
EFIS: 1014000144
DIST-CO-RTE-PM10-MER-99-R12.7/17.8
Award Date01/22/2021
Closeout DateNot set
Work DescriptionRECONSTRUCT ROADWAY WITH ROADWAY EXCAVATION, PLACE HMA AND CRCP.
Location DescriptionMERCED COUNTY IN MERCED FROM 0.2 MILE SOUTH OF CHILDS AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF FRANKLIN ROAD OVERCROSSING.
QA Service Level1 (Verified on 10/20/2020)

Sample Information

Sample Taken Date05/10/2022 Sample Unique Key24
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 testing05/13/2022
Sample typeQuality Assurance A brief description of the sample3/4 Hma-A
The quantity of what the sample constitutes 2 boxs From where was the sample collectedSource
First name of sampler or witnessed byg Last name of sampler or witnessed byMyers
Title of sampler Telephone number of sampler
Laboratory sample identification22-h-28 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSanta Fe Winton Transportation Laboratory (TL) NumberMC220014
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 number8 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