Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-05-23-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993222 DEA: 081G5204 EFIS: 0816000020 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-18-100.9/115.9 |
| Award Date | 10/28/2021 |
| Closeout Date | 07/27/2023 |
| Work Description | COLD PLANE AC PAVEMENT & PLACE HMA AND MINOR CONCRETE. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR ADELANTO FROM LOS ANGELES COUNTY LINE TO ROUTE 395 |
| QA Service Level | 1 (Verified on 10/04/2021) |
Sample Information
| Sample Taken Date | 05/23/2022 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 05/26/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 1" HMA-A R25 0.6% EVO |
| The quantity of what the sample constitutes | 4 Boxes HMA 147.17 tons out | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Zacariah | Last name of sampler or witnessed by | Roush |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0312A-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Victorville | 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 | 1 inch | Lot number | |
| Sublot number | 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: 2022-05-23-24-1 AASHTO T308-10 (Verified)