Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2023-04-03-59

Project Information

Project IdentifiersProject ID: 994401
DEA: 09379304
EFIS: 0919000007
DIST-CO-RTE-PM09-INY-127-21.0/34.5,41.8/49.4
Award Date01/23/2023
Closeout Date12/27/2023
Work DescriptionPARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A).
Location DescriptionINYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE
QA Service Level1 (Verified on 08/02/2023)

Sample Information

Sample Taken Date04/03/2023 Sample Unique Key59
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 testing04/03/2023
Sample typeVerification A brief description of the sample3/4" HMA-A-SP
The quantity of what the sample constitutes16 boxes of 3/4" Type A HMA with RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byJosh Last name of sampler or witnessed byHubartt
Title of samplerTET Telephone number of sampler7609373217
Laboratory sample identificationJMF-01 Linked DIME Sample ID
The fabricator/manufacturer/facility nameWulfenstein Construction 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 Number

Submitted Tests

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Test File Attachments