Sample Record

Owner Lab

  • CT D08 - Fontana Field Testing Laboratory

DIME Sample ID 2020-05-11-34

Project Information

Project IdentifiersProject ID: 213707
DEA: 081C38U4
EFIS: 0817000196
DIST-CO-RTE-PM08-RIV-10-6.7/R25.1
Award Date11/26/2019
Closeout Date11/01/2023
Work DescriptionRemove concrete pavement and base, and place HMA and JPCP
Location DescriptionROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON.
QA Service Level1 (Verified on 01/09/2020)

Sample Information

Sample Taken Date05/11/2020 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testing05/11/2020 Sample typeQuality Assurance
A brief description of the sample3/4 Type A HMA The quantity of what the sample constitutes4 bags
From where was the sample collectedManufacturer First name of sampler or witnessed byIdris
Last name of sampler or witnessed byNajjar Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCalifornia Commercial Asphalt - Coachella
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)cca
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedIntercepting discharged into the weigh hopper
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design number43417615 Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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