Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2022-05-12-44

Project Information

Project IdentifiersProject ID: 993239
DEA: 100P5404
EFIS: 1013000251
DIST-CO-RTE-PM10-SJ,STA-5,99-6.2/6.6,R17.7/R18.1
Award Date10/29/2021
Closeout Date08/30/2023
Work DescriptionREMOVE & PLACE STRUCTURAL CONCRETE BRIDGE; AND PLACE CONCRETE BARRIER.
Location DescriptionSAN JOAQUIN AND STANISLAUS COUNTIES ON ROUTE 5 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5/33 SEPARATION AND OVERHEAD AND ON ROUTE 99 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF WEST MODESTO OVERHEAD
QA Service Level1 (Verified on 09/27/2021)

Sample Information

Sample Taken Date05/12/2022 Sample Unique Key44
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 sampleHMA
The quantity of what the sample constitutes 2 boxs From where was the sample collectedJob Site
First name of sampler or witnessed byT Last name of sampler or witnessed byNixon
Title of samplerTech Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Vernalis 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 number
Sublot number HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-05-12-44-1AASHTO T209-12: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Manpreet Singh, CT D10 - District 10 Materials Laboratory05/24/2022Manpreet Singh
Yes
04/19/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-05-12-44-1 AASHTO T209-12 (Verified)