Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2023-12-15-49
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994929 DEA: 034J6804 EFIS: 0323000228 |
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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 | 49 |
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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 | 12/22/2023 |
Sample type | Quality Assurance | A brief description of the sample | Boxes of Mix |
The quantity of what the sample constitutes | 3/4" HMA w/ 15% RAP | 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 | 23-291 | Linked DIME Sample ID | 2023-12-15-29 |
The fabricator/manufacturer/facility name | Teichert Woodland | 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 |
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HMA Grading | 3/4 inch | Lot number | 1 |
Sublot number | 1 | HMA Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-12-15-49-1 AASHTO T209-22 (Verified)
DIME Test ID: 2023-12-15-49-2 AASHTO T308-10 (Verified)