Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2022-10-27-67
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||