Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2023-09-14-55
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215157 DEA: 021H5704 EFIS: 0216000036 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-299-67.8/77.8 |
| Award Date | 02/09/2023 |
| Closeout Date | Not set |
| Work Description | BURNEY CAPM - PAVEMENT REHABILITATION |
| Location Description | BUNCH GRASS LOOKOUT RD TO NAPA LN |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 09/14/2023 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 09/14/2023 |
| Sample type | Acceptance | A brief description of the sample | 3/4" RHMA-G |
| The quantity of what the sample constitutes | 8 Boxes | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D79347 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | JF Shea Fawndale | Transportation Laboratory (TL) Number | 857915 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number |
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. | |||