Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2022-10-27-67
Project Information
Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
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DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
Award Date | 04/26/2022 |
Closeout Date | Not set |
Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
Sample Taken Date | 10/27/2022 | Sample Unique Key | 67 |
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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 | 11/10/2022 |
Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA With RAP-WMA |
The quantity of what the sample constitutes | 2 boxs | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Cody | Last name of sampler or witnessed by | Cordero |
Title of sampler | Consultant | Telephone number of sampler | 916-604-2325 |
Laboratory sample identification | 101267 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Dutra Materials Richmond | Transportation Laboratory (TL) Number | 101267 |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Cody Brown | Structure unique identifier | |
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
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HMA Grading | 3/4 inch | Lot number | 1 |
Sublot number | 1 | HMA Mix Number | L21140WMA |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |