Sample Record

Owner Lab

  • CT D03 - Chico Field Laboratory

DIME Sample ID 2023-06-01-92

Project Information

Project IdentifiersProject ID: 993208
DEA: 034F38U4
EFIS: 0321000092
DIST-CO-RTE-PM03-YUB-70-16.2/25.8
Award Date11/04/2021
Closeout DateNot set
Work DescriptionWIDEN SHOULDERS AND IMPROVE CLEAR RECOVERY ZONE.
Location DescriptionYUBA COUNTY NEAR MARYSVILLE FROM 0.2 MILE NORTH OF LAURELLEN ROAD TO SOUTH HONCUT CREEK BRIDGE
QA Service Level1 (Verified on 09/10/2021)

Sample Information

Sample Taken Date06/01/2023 Sample Unique Key92
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 testing06/02/2023
Sample typeQuality Assurance A brief description of the sampleL4S3
The quantity of what the sample constitutes12 4X4X8 Boxes From where was the sample collectedSource
First name of sampler or witnessed byBrad Last name of sampler or witnessed byMcKeehan
Title of samplerTET Telephone number of sampler19167994305
Laboratory sample identificationL4S1 Linked DIME Sample ID
The fabricator/manufacturer/facility nameDeSilva Gates - Marysville Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameFull Depth Repair -Dig Out

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number4
Sublot number1 HMA Mix NumberJMF 22 007

Submitted Tests

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