Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2019-05-01-12
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Project Information
| Project Identifiers | Project ID: 213765 DEA: 081J1804 EFIS: 0817000221 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R105.2/R135.1 |
| Award Date | 12/27/2018 |
| Closeout Date | 06/23/2021 |
| Work Description | REPLACE ASPHALT CONCRETE SURFACING & UPGRADE TRAFFIC STRIPING |
| Location Description | RIVERSIDE COUNTY FROM 0.1 MILE EAST OF ROUTE 177 TO 0.1 MILE EAST OF WILEY WELL OVERCROSSING |
| QA Service Level | 1 (Verified on 02/06/2019) |
Sample Information
| Sample Taken Date | 05/01/2019 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 05/01/2019 |
| Sample type | Department Acceptance | A brief description of the sample | AC Drum Aggregate |
| The quantity of what the sample constitutes | 1 bag combined aggregate | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Dzung | Last name of sampler or witnessed by | Tran |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Indio | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0072 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 RHMA-G | The fabricator/manufacturer designation for the sample | 1557 |
| The plant number | Unknown | A detailed description of where the material sample was collected | belt an chute |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | 1 |
| Sublot number | 4 | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-05-01-12-1 AASHTO T27-14 (Verified)