Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-12-15-10

Project Information

Project IdentifiersProject ID: 215348
DEA: 060U4204
EFIS: 0616000004
DIST-CO-RTE-PM06-FRE-99-R4.9/11.6
Award Date02/25/2021
Closeout DateNot set
Work DescriptionCONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION.
Location DescriptionFRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING
QA Service Level1 (Verified on 12/07/2020)

Sample Information

Sample Taken Date12/15/2023 Sample Unique Key10
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 testing12/15/2023
Sample typeAcceptance A brief description of the sample3/4" HMA coldfeed
The quantity of what the sample constitutes1526 T From where was the sample collectedManufacturer
First name of sampler or witnessed byArthur Last name of sampler or witnessed byMills
Title of sampler Telephone number of sampler8033087727
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Ashlan Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number16
Sublot number6 HMA Mix Number

Submitted Tests

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