Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2023-08-09-25

Project Information

Project IdentifiersProject ID: 994399
DEA: 09378704
EFIS: 0919000001
DIST-CO-RTE-PM09-MNO-395-55.5/58.2
Award Date12/22/2022
Closeout Date12/22/2023
Work DescriptionPARTIAL DEPTH RECYCLE AND HMA (TYPE A).
Location DescriptionMONO COUNTY NEAR LEE VINING FROM 0.2 MILE SOUTH OF CEMETERY ROAD TO ROUTE 167
QA Service Level1 (Verified on 07/31/2023)

Sample Information

Sample Taken Date08/09/2023 Sample Unique Key25
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 testing08/09/2023
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA
The quantity of what the sample constitutes4 Boxes for (0 - 750) Tons From where was the sample collectedSource
First name of sampler or witnessed byJeffery Last name of sampler or witnessed byPuente
Title of samplerQA Telephone number of sampler6614400636
Laboratory sample identificationHMA-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Lee Vining Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameHwy 395 / Cemetery Rd

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments