Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2022-07-07-51
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Project Information
| Project Identifiers | Project ID: 215789 DEA: 10462104 EFIS: 1013000266 |
|---|---|
| DIST-CO-RTE-PM | 10-TUO-108-R18.9/38.8 |
| Award Date | 08/02/2021 |
| Closeout Date | 06/26/2023 |
| Work Description | COLD PLANE, HMA, DRAINAGE REPLACEMENT, AND MODIFY TRAFFIC STATIONS. |
| Location Description | TUOLUMNE COUNTY IN AND NEAR LONG BARN FROM 0.1 MILE WEST OF LONG BARN ROAD TO 2.3 MILES EAST OF COW CREEK ROAD |
| QA Service Level | 1 (Verified on 06/04/2021) |
Sample Information
| Sample Taken Date | 07/07/2022 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 07/08/2022 |
| Sample type | Verification | A brief description of the sample | 3/4 HMA-A |
| The quantity of what the sample constitutes | 4 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Oei |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | 22-H-082 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | GRI, Table MTN | Transportation Laboratory (TL) Number | 034426 |
| 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 | 2 |
| Sublot number | 4 | 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. | |||