Sample Record
Owner Labs
- CT - Unassigned/General Field Laboratory
- CT HQ - Sacramento Materials Management Branch Field Office
DIME Sample ID 2023-06-07-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994345 DEA: 023J7804 EFIS: 0222000083 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-36-15.8/16.9,20.5/24.5 |
| Award Date | 12/22/2022 |
| Closeout Date | 08/22/2023 |
| Work Description | PLACE HOT MIX ASPHALT (TYPE A) AND REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | TRINITY COUNTY NEAR FOREST GLEN FROM 1.1 MILES WEST OF SOUTH FORK TRINITY RIVER BRIDGE TO SOUTH FORK TRINITY RIVER BRIDGE NO. 05-0026 AND FROM UPPER RATTLESNAKE CREEK BRIDGE NO. 05-0073 TO 0.3 MILE WEST OF TRINITY PINES ROAD |
| QA Service Level | 1 (Verified on 03/28/2023) |
Sample Information
| Sample Taken Date | 06/07/2023 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 06/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2 HMA Type A |
| The quantity of what the sample constitutes | 750 tons or 1 day | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | 5306045116 |
| Laboratory sample identification | lot 1 subl 3 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tullis Inc. - Northstate Asphalt (Redding CA) | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | 1 |
| Sublot number | 3 | HMA Mix Number | L210154 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||