Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2023-04-05-32

Project Information

Project IdentifiersProject ID: 993493
DEA: 100Q1224
EFIS: 1014000168
DIST-CO-RTE-PM10-MER-99-28.2/R37.3
Award Date03/30/2022
Closeout DateNot set
Work DescriptionWIDEN CONCRETE PAVEMENT LANES AND BRIDGES.
Location DescriptionMERCED COUNTY IN AND NEAR LIVINGSTON FROM 0.8 MILE SOUTH OF HAMMATT AVENUE OVERCROSSING TO STANISLAUS COUNTY LINE
QA Service Level1 (Verified on 01/10/2022)

Sample Information

Sample Taken Date04/05/2023 Sample Unique Key32
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 testing04/06/2023
Sample typeQuality Assurance A brief description of the sample3/4 HMA-A
The quantity of what the sample constitutes4 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byTimothy Last name of sampler or witnessed byTretz
Title of samplerLab Technician Telephone number of sampler
Laboratory sample identification23-H-33 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSanta Fe Aggregate Winton Transportation Laboratory (TL) Number7721753
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 Grading3/4 inch Lot number1
Sublot number1 HMA Mix Number22J24A

Submitted Tests

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