Sample Record

Owner Lab

  • CT D06 - Visalia Field Laboratory

DIME Sample ID 2023-02-21-55

Project Information

Project IdentifiersProject ID: 993301
DEA: 060U2804
EFIS: 0615000293
DIST-CO-RTE-PM06-TUL-245-1.4,4.2
Award Date01/03/2022
Closeout DateNot set
Work DescriptionPRECAST PRESTRESSED CONCRETE BOX GIRDER AND SLAB, BRIDGE REMOVAL.
Location DescriptionTULARE COUNTY NEAR WOODLAKE AT YOKOHL CREEK BRIDGE AND AT KAWEAH RIVER BRIDGE
QA Service Level1 (Verified on 10/11/2021)

Sample Information

Sample Taken Date02/21/2023 Sample Unique Key55
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 testing02/21/2023
Sample typeQuality Assurance A brief description of the sample3/4" HMA- A
The quantity of what the sample constitutes2514.5 From where was the sample collectedJob Site
First name of sampler or witnessed bySean Last name of sampler or witnessed byHaiar
Title of samplerQC Telephone number of sampler
Laboratory sample identificationL1SL1 Linked DIME Sample ID
The fabricator/manufacturer/facility namePorterville Asphalt Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameTul 245 Kaweah Bridge

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number2 HMA Mix Number

Submitted Tests

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