Sample Record
Owner Lab
- CT D08 - Fontana Field Testing Laboratory
DIME Sample ID 2021-08-25-29
Project Information
Project Identifiers | Project ID: 215494 DEA: 081H4904 EFIS: 0817000059 |
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DIST-CO-RTE-PM | 08-SBD-18-31.9/38.5 |
Award Date | 04/05/2021 |
Closeout Date | 01/18/2022 |
Work Description | COLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A). |
Location Description | SAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL |
QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
Sample Taken Date | 08/25/2021 | Sample Unique Key | 29 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/25/2021 |
Sample type | Quality Assurance | A brief description of the sample | HMA Type A R12 # LHP62-D |
The quantity of what the sample constitutes | 2 box, 3 cores | 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 | 24A, 24B, 24C | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Matich Lytle Creek | 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 | |
Sublot number | HMA Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-08-25-29-1 AASHTO T275-07r12 (Verified)
DIME Test ID: 2021-08-25-29-2 AASHTO T209-12 (Verified)