Sample Record

Owner Lab

  • CT D04 - Hayward Field Laboratory

DIME Sample ID 2024-07-29-64

Project Information

Project IdentifiersProject ID: 994368
DEA: 040K7804
EFIS: 0416000138
DIST-CO-RTE-PM04-SM-84-21.5/25.7
Award Date12/05/2023
Closeout DateNot set
Work DescriptionREPLACE AC SURFACING, UPGRADE CURB RAMPS, REPLACE MBGR WITH MGS.
Location DescriptionSAN MATEO COUNTY IN WOODSIDE AND REDWOOD CITY ON ROUTE 84 FROM ROUTE 280 TO ROUTE 101
QA Service Level1 (Verified on 04/05/2023)

Sample Information

Sample Taken Date07/29/2024 Sample Unique Key64
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 testing07/30/2024
Sample typeQuality Assurance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes0-750 Tons From where was the sample collectedSupplier
First name of sampler or witnessed byK Last name of sampler or witnessed byKoenig
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDeSilva Gates Sunol 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 TypeRHMA-G
HMA Grading3/4 inch Lot number1
Sublot number3 HMA Mix NumberD04 JMF 24 005

Submitted Tests

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