Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2023-06-07-56
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Project Information
| Project Identifiers | Project ID: 214077 DEA: 101C5304 EFIS: 1015000002 |
|---|---|
| DIST-CO-RTE-PM | 10-STA,SJ-5,99-Var |
| Award Date | 05/24/2019 |
| Closeout Date | 04/26/2021 |
| Work Description | OVERHEAD AND ROADSIDE SIGNS, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | SAN JOAQUIN AND STANISLAUS COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/11/2019) |
Sample Information
| Sample Taken Date | 06/07/2023 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 06/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA |
| The quantity of what the sample constitutes | 2 boxs | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Timothy | Last name of sampler or witnessed by | Trefz |
| Title of sampler | MREAS | Telephone number of sampler | |
| Laboratory sample identification | 23-H-93 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Materials Vernalis | Transportation Laboratory (TL) Number | 994028 |
| 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 | 3/4 inch | Lot number | 2 |
| Sublot number | 6 | HMA Mix Number | 22J22 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-07-56-1 AASHTO T308-10 (Verified)