Sample Record

Owner Labs

  • CT D05 - Santa Maria Field Laboratory
  • CT D05 - San Luis Obispo District Laboratory

DIME Sample ID 2023-10-01-6

Project Information

Project IdentifiersProject ID: 215336
DEA: 051G9804
EFIS: 0516000009
DIST-CO-RTE-PM05-SLO-1-10.0/16.8
Award Date12/19/2022
Closeout DateNot set
Work DescriptionRHMA (GAP GRADED), RETAINING WALL, CURB RAMPS AND LIGHTING SYSTEMS.
Location DescriptionSAN LUIS OBISPO COUNTY FROM GRACIA WAY AT OCEANO TO ROUTE 1/101 SEPARATION IN PISMO BEACH.
QA Service Level1 (Verified on 11/18/2020)

Sample Information

Sample Taken Date10/01/2023 Sample Unique Key6
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 testing10/01/2023
Sample typeAcceptance A brief description of the sample3/4" HMA-A
The quantity of what the sample constitutesUp to 750 Tons From where was the sample collectedSupplier
First name of sampler or witnessed byIsaac Last name of sampler or witnessed byGleffe
Title of samplerARET Telephone number of sampler18053191237
Laboratory sample identification231001A Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalportland-Garey Transportation Laboratory (TL) NumberC231001A
Inspector Lot Number from the Transportation Laboratory (TL) FormLot 1 Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number5 HMA Mix NumberD1321F215

Submitted Tests

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