Sample Record

Owner Lab

  • CT D11 - District 11 Materials Laboratory

DIME Sample ID 2022-08-08-43

Project Information

Project IdentifiersProject ID: 215591
DEA: 112N0724
EFIS: 1119000164
DIST-CO-RTE-PM11-IMP-111-R0.1/R1.2
Award Date05/27/2021
Closeout Date07/27/2023
Work DescriptionCOLD PLANE, PLACE STRESS ABSORBING MEMBRANE INTERLAYER AND RHMA.
Location DescriptionIMPERIAL COUNTY IN CALEXICO FROM 0.1 MILE NORTH OF MEXICO BORDER TO ROUTE 98.
QA Service Level1 (Verified on 07/06/2021)

Sample Information

Sample Taken Date08/08/2022 Sample Unique Key43
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 testing08/08/2022
Sample typeQuality Assurance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes16 boxes From where was the sample collectedSupplier
First name of sampler or witnessed byNot Provided Last name of sampler or witnessed byNot Provided
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAPI Gateway 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 TypeRHMA-G
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
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Sample File Attachments

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Test File Attachments