Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2024-05-17-27

Project Information

Project IdentifiersProject ID: 214135
DEA: 09213404
EFIS: 0900000030
DIST-CO-RTE-PM09-INY-395-29.9/41.8
Award Date10/22/2021
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location DescriptionINYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
QA Service Level1 (Verified on 05/03/2019)

Sample Information

Sample Taken Date05/17/2024 Sample Unique Key27
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 testing05/20/2024
Sample typeQuality Assurance A brief description of the sampleHMA-R79
The quantity of what the sample constitutes4 Boxes at 4000 tons for voids From where was the sample collectedJob Site
First name of sampler or witnessed byJerid Last name of sampler or witnessed byKupelian
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFisher Sand & Gravel Olancha plant 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 number1
Sublot number79 HMA Mix Number

Submitted Tests

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