Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-09-01-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215494 DEA: 081H4904 EFIS: 0817000059 |
|---|---|
| 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 | 09/01/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 09/02/2021 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A SP R12 0.75% LAS |
| The quantity of what the sample constitutes | 2 boxes HMA | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Matich | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0516A-21 | 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 | Bid Item | Not set |
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 | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||