Sample Record
Owner Lab
- Blackburn Consulting
DIME Sample ID 2023-12-15-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994929 DEA: 034J6804 EFIS: 0323000228 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-128-1/6 |
| Award Date | 05/05/2023 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/26/2023) |
Sample Information
| Sample Taken Date | 12/15/2023 | Sample Unique Key | 29 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 12/15/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-SP |
| The quantity of what the sample constitutes | 2 HMA Boxes | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dustan | Last name of sampler or witnessed by | Kliethermes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | N/A | Transportation Laboratory (TL) Number | |
| 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 | 1 | 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. | |||