Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2023-07-28-51
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Project Information
| Project Identifiers | Project ID: 215744 DEA: 033H93U4 EFIS: 0321000091 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB,BUT-70-25.5/25.8,0.0/3.8 |
| Award Date | 07/15/2021 |
| Closeout Date | Not set |
| Work Description | WIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE. |
| Location Description | YUBA AND BUTTE COUNTIES ABOUT 11 MILES NORTH OF MARYSVILLE FROM 0.8 MILE NORTH OF CHANDLER ROAD TO 0.2 MILE SOUTH OF EAST GRIDLEY ROAD |
| QA Service Level | 1 (Verified on 05/20/2021) |
Sample Information
| Sample Taken Date | 07/28/2023 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 07/31/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Source |
| First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | McKeehan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 23-107 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Teichert - Hallwood Plant | Transportation Laboratory (TL) Number | 802352 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L6SL13 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 6 |
| Sublot number | 13 | HMA Mix Number | 309 40432407 V |
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. | |||