Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-06-08-56
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994514 DEA: 043Y0504 EFIS: 0423000192 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-12112113-var/var |
| Award Date | 01/12/2023 |
| Closeout Date | 03/11/2024 |
| Work Description | PAVEMENT REPAIR |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 06/08/2023 | 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 | 06/09/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA Hot Mix |
| The quantity of what the sample constitutes | 2 boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Plant | Last name of sampler or witnessed by | Plan |
| Title of sampler | QC lab tech | Telephone number of sampler | 000000000 |
| Laboratory sample identification | Con_23_ 722 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Bradshaw Plant | Transportation Laboratory (TL) Number | C726483 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Lot 1 SL 18 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 18 | HMA Mix Number | 1635V |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-08-56-1 AASHTO T209-22 (Verified)