Sample Record

Owner Lab

  • CT D06 - Visalia Field Laboratory

DIME Sample ID 2023-05-04-40

Project Information

Project IdentifiersProject ID: 994787
DEA: 061F7004
EFIS: 0623000145
DIST-CO-RTE-PM06-TUL-99-4/15.5
Award Date03/13/2023
Closeout Date02/26/2024
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 01/17/2024)

Sample Information

Sample Taken Date05/04/2023 Sample Unique Key40
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 testing05/04/2023
Sample typeDepartment Acceptance A brief description of the sample3/4 HMA -A No Rap PG70-10
The quantity of what the sample constitutes312 Ton From where was the sample collectedSupplier
First name of sampler or witnessed byDoug Last name of sampler or witnessed byRuff
Title of samplerConsultant Tester Telephone number of sampler5594670032
Laboratory sample identification Linked DIME Sample ID2023-05-04-39
The fabricator/manufacturer/facility namePorterville Rock and Recycle PAI 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 TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number22J026

Submitted Tests

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