Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2023-07-24-56
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993118 DEA: 101C3304 EFIS: 1014000146 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-205-R4.6/R9.0 |
| Award Date | 04/05/2022 |
| Closeout Date | Not set |
| Work Description | Widening bridges, ramps and roadway. SR205 SMART CORRIDOR - PHASE 2 |
| Location Description | On state highway in San Joaquin County in and near Tracy from Janney Overhead to 1.3 miles east of MacArthur Drive Overcrossing. |
| QA Service Level | 1 (Verified on 07/06/2022) |
Sample Information
| Sample Taken Date | 07/24/2023 | 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 | 07/25/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA |
| The quantity of what the sample constitutes | 4 boxes | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | qc tester | Last name of sampler or witnessed by | NA |
| Title of sampler | Lab Technician | Telephone number of sampler | |
| Laboratory sample identification | 23-H-110 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert Matls Vernalis | Transportation Laboratory (TL) Number | 724241 |
| 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 | 3 | HMA Mix Number | 22J22 |
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. | |||