Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2022-06-16-84

Project Information

Project IdentifiersProject ID: 993300
DEA: 044J3004
EFIS: 0415000320
DIST-CO-RTE-PM04-NAP-29-29.3/36.9
Award Date02/16/2022
Closeout Date05/31/2023
Work DescriptionCOLD PLANE AC, PLACE HMA (TYPE A) AND RHMA-G.
Location DescriptionNAPA COUNTY IN AND NEAR SAINT HELENA AND CALISTOGA FROM YORK CREEK BRIDGE TO ROUTE 128
QA Service Level1 (Verified on 10/22/2021)

Sample Information

Sample Taken Date06/16/2022 Sample Unique Key84
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 testing06/16/2022
Sample typeVerification A brief description of the sample3/8" HMA WITH 15% RAP
The quantity of what the sample constitutes80 tons From where was the sample collectedSupplier
First name of sampler or witnessed byNICK Last name of sampler or witnessed byHALL
Title of samplerTET Telephone number of sampler7072999133
Laboratory sample identificationCON_22_428 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBoDean Santa Rosa 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 Grading3/8 inch Lot number1
Sublot number1 HMA Mix Number

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