Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2023-04-21-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994467 DEA: 101R1804 EFIS: 1023000110 |
|---|---|
| DIST-CO-RTE-PM | 10-TUO,TUO-120-0.96, 0.96/0.96 |
| Award Date | 12/31/2022 |
| Closeout Date | 08/30/2023 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 01/18/2023) |
Sample Information
| Sample Taken Date | 04/21/2023 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 04/25/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA |
| The quantity of what the sample constitutes | 4 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Trevan | Last name of sampler or witnessed by | Fulkerson |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | 23-H-61 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | GRI, Munn & Perkins | Transportation Laboratory (TL) Number | 938462 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 3 |
| Sublot number | 2 | HMA Mix Number | 23J001 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-21-25-1 AASHTO T209-12 (Verified)
DIME Test ID: 2023-04-21-25-2 AASHTO T308-10 (Verified)