Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-05-07-11

Project Information

Project IdentifiersProject ID: 214466
DEA: 081F1414
EFIS: 0815000231
DIST-CO-RTE-PM08-RIV-15-15-54.2/54.3
Award Date01/02/2020
Closeout Date05/26/2022
Work DescriptionSlab & lane replacement with JPCP & precast conc pavement, place HMA.
Location DescriptionRiverside and San Diego County
QA Service Level1 (Verified on 03/20/2020)

Sample Information

Sample Taken Date05/07/2020 Sample Unique Key11
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 testing05/13/2020
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA-A PG-28M (0.50 LAS)
The quantity of what the sample constitutes724 Tons From where was the sample collectedSource
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCCA-Lake Elsinore Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot numberUnknown
Sublot numberUnknown HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments