Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-08-08-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993649 DEA: 081M0304 EFIS: 0821000062 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-177-0.0/27.0 |
| Award Date | 05/23/2022 |
| Closeout Date | 03/27/2023 |
| Work Description | PLACE RUBBERIZED HMA, TRAFFIC STRIPING & COLD PLANE ASPHALT CONCRETE. |
| Location Description | RIVERSIDE COUNTY NEAR DESERT CENTER FROM ROUTE 10/177 SEPARATION TO ROUTE 62 |
| QA Service Level | 1 (Verified on 07/27/2022) |
Sample Information
| Sample Taken Date | 08/08/2022 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 08/09/2022 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-SP R24 0.4% Evo |
| The quantity of what the sample constitutes | 8 Bags Bin Agg., 2 Bags Rap 1 Bag Mineral Agg., | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Martin | Last name of sampler or witnessed by | Marietta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0531A-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martin Marietta -Coachella | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0084 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 43417105 | A detailed description of where the material sample was collected | Belt Cut ay Martin Marietta -Coachella |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||