Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-09-19-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000101 DEA: 081J2904 EFIS: 0818000015 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-215-25.0/R31.2 |
| Award Date | 06/18/2024 |
| Closeout Date | Not set |
| Work Description | RHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT. |
| Location Description | RIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY |
| QA Service Level | 1 (Verified on 05/15/2024) |
Sample Information
| Sample Taken Date | 09/19/2024 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 09/20/2024 |
| Sample type | Verification | A brief description of the sample | 3/8" HMA A SP R25 .5% LAS |
| The quantity of what the sample constitutes | 36 BX HMA 4 QT PG64-16 2 QT LAS 5 BGS CMB AG 3 BGS RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | GABRIEL | Last name of sampler or witnessed by | RAMIREZ |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0490A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martin Marietta Lake Elsinore | 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 | 3/8 inch | Lot number | |
| Sublot number | HMA Mix Number | 53817195 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||