Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2022-10-27-67

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN 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 Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date10/27/2022 Sample Unique Key67
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 testing11/10/2022
Sample typeQuality Assurance A brief description of the sample3/4 HMA With RAP-WMA
The quantity of what the sample constitutes 2 boxs From where was the sample collectedJob Site
First name of sampler or witnessed byCody Last name of sampler or witnessed byCordero
Title of samplerConsultant Telephone number of sampler916-604-2325
Laboratory sample identification101267 Linked DIME Sample ID
The fabricator/manufacturer/facility nameDutra Materials Richmond Transportation Laboratory (TL) Number101267
Inspector Lot Number from the Transportation Laboratory (TL) FormCody Brown Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number1 HMA Mix NumberL21140WMA

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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