Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-03-16-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212889 DEA: 073009U4 EFIS: 0714000238 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110-R0.7/24.1 |
| Award Date | 04/03/2018 |
| Closeout Date | 06/30/2021 |
| Work Description | REPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON FROM GAFFEY STREET TO 0.1 MILE SOUTH OF COLLEGE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 06/21/2018) |
Sample Information
| Sample Taken Date | 03/16/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 03/25/2019 |
| Sample type | Verification | A brief description of the sample | PG64-10 |
| The quantity of what the sample constitutes | 4 x 1 qt | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | G | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | San Joaquin Refining Co Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG64-10 |
|---|---|---|---|
| Modified | No | Lot number | Not set |
| Sublot number | Not set | Tank number | Not set |
| Time of sample | Not set | HMA Supplier | Not set |
| Certified Asphalt Supplier | Not set | Multigrade | Not set |
| Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-52 | Date Created | 04/04/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-26-2019-75 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 105793 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-03-16-2-1 AASHTO T228-09r13 (Verified)
DIME Test ID: 2019-03-16-2-2 AASHTO T315-12 (Verified)
