Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-11-16-1
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Project Information
| Project Identifiers | Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2 |
| Award Date | 04/18/2019 |
| Closeout Date | 06/28/2022 |
| Work Description | REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/17/2019) |
Sample Information
| Sample Taken Date | 11/16/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/18/2019 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A PG 64-28M 0.5% LAS |
| The quantity of what the sample constitutes | 1 box | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0691A-19 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan-Corona | 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 | 3/4 inch | Lot number | Unknown |
| Sublot number | Unknown | HMA Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-11-16-1-1 AASHTO T308-10 (Verified)