Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-09-96

Project Information

Project IdentifiersProject ID: 994514
DEA: 043Y0504
EFIS: 0423000192
DIST-CO-RTE-PM04-SOL-12112113-var/var
Award Date01/12/2023
Closeout Date03/11/2024
Work DescriptionPAVEMENT REPAIR
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date05/09/2023 Sample Unique Key96
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 testing05/15/2023
Sample typeQuality Assurance A brief description of the sample3/4 HMA Type A
The quantity of what the sample constitutes2 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byJohn Paul Last name of sampler or witnessed byPlant QC
Title of samplerQC Technician Telephone number of sampler5302475468
Laboratory sample identificationCon_23_463 Linked DIME Sample ID2023-05-09-94
The fabricator/manufacturer/facility name3/4 HMA Type A Transportation Laboratory (TL) NumberC911365
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 number
Sublot number HMA Mix Number411101510LB

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-09-96-1AASHTO T209-22: Standard Method of Test for Theoretical Maximum Specific Gravity (Gmm) and Density of Asphalt Mixtures (Maximum Specific Gravity)Anthony Ibarra, CT D04 - Concord Field Laboratory05/20/2023anthony ibarra
Yes
05/22/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-05-09-96-1 AASHTO T209-22 (Verified)