Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-10-51
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Project Information
| Project Identifiers | Project ID: 993635 DEA: 120R7504 EFIS: 1219000030 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-R33.7/R35.4 |
| Award Date | 08/15/2023 |
| Closeout Date | Not set |
| Work Description | PLACE HMA, JPCP, INSTALL SIGN STRUCTURE, AND ELECTRICAL SYSTEMS. |
| Location Description | IN THE COUNTY OF ORANGE, IN THE CITIES OF ORANGE AND SANTA ANA, ON SB I-5 BETWEEN THE EB RTE 22/SB I-5 CONN AND NORTH OF STATE COLLEGE BLVD. UC |
| QA Service Level | 1 (Verified on 03/28/2022) |
Sample Information
| Sample Taken Date | 10/10/2024 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 10/18/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA A SP R15 NO LAS |
| The quantity of what the sample constitutes | 21 BX HMA 3 QT PG64-10 2 BGS CMB AGG 2 BGS RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | TIMMY | Last name of sampler or witnessed by | AAA QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0563A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-Corona | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 105793 | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||