Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-10-06-34
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Project Information
| Project Identifiers | Project ID: 993340 DEA: 051J7504 EFIS: 0518000039 MINOR: 05A2318 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-90 |
| Award Date | 09/08/2021 |
| Closeout Date | Not set |
| Work Description | Install CMS Sign Structure US 101 NB 0.3 Miles N of Donovan Rd |
| Location Description | In Santa Maria |
| QA Service Level | 1 (Verified on 10/20/2021) |
Sample Information
| Sample Taken Date | 10/06/2022 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 10/06/2022 |
| Sample type | Acceptance | A brief description of the sample | 1/2" HMA A Coldfeed |
| The quantity of what the sample constitutes | 1 Sublot | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Gleffe |
| Title of sampler | ARET | Telephone number of sampler | 8053191237 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sierra Pacific Materials - Templeton | Transportation Laboratory (TL) Number | |
| 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 | 1/2 inch | Lot number | 1 |
| Sublot number | 1 | HMA Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-10-06-34-1 AASHTO T209-12 (Verified)