Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-10-23-79
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Project Information
| Project Identifiers | Project ID: 214336 DEA: 07302404 EFIS: 0713000488 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-37/40 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | PADRE JUAN REHAB |
| Location Description | VEN 101 |
| QA Service Level | 1 (Verified on 02/26/2021) |
Sample Information
| Sample Taken Date | 10/23/2023 | Sample Unique Key | 79 |
|---|---|---|---|
| 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 | 11/22/2023 |
| Sample type | Acceptance | A brief description of the sample | 3/4'' HMA |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Ortega |
| Title of sampler | QC Technician | Telephone number of sampler | |
| Laboratory sample identification | 23-630 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Santa Paula | 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 | 16 | HMA Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-23-79-1 AASHTO T275-07r12 (Verified)