Sample Record
Owner Lab
- CT D10 - District 10 Materials Laboratory
DIME Sample ID 2023-08-16-77
Project Information
Project Identifiers | Project ID: 993589 DEA: 100T6804 EFIS: 1017000005 |
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DIST-CO-RTE-PM | 10-MER-5,165,152,33-Var |
Award Date | 05/12/2022 |
Closeout Date | 03/06/2024 |
Work Description | SHOULDER AND RAMP WIDENING, COLD PLANE, HMA PAVING AND DIKES. |
Location Description | MERCED COUNTY AT ROUTE 5/165 SEPARATION AND AT ROUTE 152/33 SEPARATION |
QA Service Level | 1 (Verified on 03/01/2022) |
Sample Information
Sample Taken Date | 08/16/2023 | Sample Unique Key | 77 |
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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 | 08/18/2023 |
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 | Manufacturer |
First name of sampler or witnessed by | Treven | Last name of sampler or witnessed by | Fulkerson |
Title of sampler | Lab Technician | Telephone number of sampler | |
Laboratory sample identification | 23-H-180 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Teichert Materials Vernalis | Transportation Laboratory (TL) Number | 033251 |
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 | 1 |
Sublot number | 2 | HMA Mix Number | 21j43 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-08-16-77-1 AASHTO T209-12 (Verified)
DIME Test ID: 2023-08-16-77-2 AASHTO T308-10 (Verified)