Sample Record

Owner Lab

  • CT D04 - San Jose Construction Field Laboratory

DIME Sample ID 2023-04-19-86

Project Information

Project IdentifiersProject ID: 214986
DEA: 041J9704
EFIS: 0414000404
DIST-CO-RTE-PM04-SCL-17-2.8/13.94
Award DateNot set
Closeout DateNot set
Work DescriptionPAVING WITH RHMA, COLD PLANE AC, AND INSTALL CULVERT.
Location DescriptionSANTA CLARA COUNTY IN AND NEAR LOS GATOS, CAMPBELL AND SAN JOSE FROM HEBARD ROAD TO ROUTE 17/280 SEPARATION
QA Service Level1 (Verified on 10/19/2020)

Sample Information

Sample Taken Date04/19/2023 Sample Unique Key86
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 testing04/19/2023
Sample typeQuality Assurance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes4 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byJerrod Last name of sampler or witnessed byNaval
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGraniterock Aromas Batch plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading3/4 inch Lot number1
Sublot number103 HMA Mix Number917

Submitted Tests

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