Sample Record

Owner Lab

  • TRC Companies

DIME Sample ID 2022-05-19-51

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/23/2020
Closeout DateNot set
Work DescriptionSegment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar, headed rebar, welded hoops, column pins.
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level1 (Verified on 08/24/2020)

Sample Information

Sample Taken Date05/19/2022 Sample Unique Key51
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing05/19/2022
Sample typeQuality Assurance A brief description of the samplePSU 3/4" Hma
The quantity of what the sample constitutes270 tons From where was the sample collectedSupplier
First name of sampler or witnessed byDarren Last name of sampler or witnessed byLaChaine
Title of samplerTester Telephone number of sampler8056213616
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Gardner 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 number1 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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