Sample Record

Owner Lab

  • CT D03 - Chico Field Laboratory

DIME Sample ID 2023-08-12-5

Project Information

Project IdentifiersProject ID: 215744
DEA: 033H93U4
EFIS: 0321000091
DIST-CO-RTE-PM03-YUB,BUT-70-25.5/25.8,0.0/3.8
Award Date07/15/2021
Closeout DateNot set
Work DescriptionWIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE.
Location DescriptionYUBA 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 Level1 (Verified on 05/20/2021)

Sample Information

Sample Taken Date08/12/2023 Sample Unique Key5
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 testing08/14/2023
Sample typeQuality Assurance A brief description of the sample3/4" HMA-A W/ 15% RAP
The quantity of what the sample constitutes12 boxes From where was the sample collectedSupplier
First name of sampler or witnessed byJeff Last name of sampler or witnessed byMcKeehan
Title of samplerTET Telephone number of sampler7602771918
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Materials Hallwood Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameHWY-70

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number6
Sublot number17 HMA Mix Number30940432407V

Submitted Tests

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