Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-05-05-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994777 DEA: 041J7804 EFIS: 0414000357 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-24,80,680,880-VAR |
| Award Date | 01/30/2023 |
| Closeout Date | 11/30/2023 |
| Work Description | Not set |
| Location Description | FOR CONSTRUCTION ON STATE HIGHWAY IN ALAMEDA AND CONTRA COSTA COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 05/05/2023 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 05/05/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2 RHMA-O |
| The quantity of what the sample constitutes | 2 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Micheal | Last name of sampler or witnessed by | Lip |
| Title of sampler | QC Technician | Telephone number of sampler | |
| Laboratory sample identification | Con_23_373 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Desilva Gates | Transportation Laboratory (TL) Number | C422-316 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 1 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | OGFC |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | 1 |
| Sublot number | 2 | HMA Mix Number | MD 6653 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-05-12-1 AASHTO T209-22 (Verified)