Sample Record

Owner Lab

  • CT D10 - District 10 Materials Laboratory

DIME Sample ID 2024-08-26-37

Project Information

Project IdentifiersProject ID: 994696
DEA: 100Y7704
EFIS: 1015000008
DIST-CO-RTE-PM10-MPA-140-12.0/22.1
Award Date07/11/2023
Closeout DateNot set
Work DescriptionREPLACE AC SURFACING, PLACE HMA AND RHMA, AND BRIDGE REPAIR.
Location DescriptionMARIPOSA COUNTY NEAR MARIPOSA FROM 1.3 MILES EAST OF CATHEYS VALLEY PARK TO 0.1 MILE NORTH OF ROUTE 49
QA Service Level1 (Verified on 05/09/2023)

Sample Information

Sample Taken Date08/26/2024 Sample Unique Key37
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 testing08/28/2024
Sample typeQuality Assurance A brief description of the sample3/4 Type A HMA
The quantity of what the sample constitutes 2 boxs From where was the sample collectedManufacturer
First name of sampler or witnessed byTimothy Last name of sampler or witnessed byTrefz
Title of samplerMREA Telephone number of sampler
Laboratory sample identification24-H-109 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed - Table Mountain Plant Transportation Laboratory (TL) Number0Y77108
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 number8 HMA Mix Number24J003

Submitted Tests

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