Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-08-12-39
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993609 DEA: 09388804 EFIS: 0921000038 |
|---|---|
| DIST-CO-RTE-PM | 09-KER-58-R123.0/R125.3 |
| Award Date | 04/21/2022 |
| Closeout Date | 10/13/2022 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA-G. |
| Location Description | IN KERN COUNTY ABOUT 10 MILES EAST OF MOJAVE FROM 4.6 MILES TO 2.3 MILES WEST OF CALIFORNIA CITY BOULEVARD |
| QA Service Level | 1 (Verified on 03/28/2022) |
Sample Information
| Sample Taken Date | 08/12/2022 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 09/13/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R15 1.0% LSM |
| The quantity of what the sample constitutes | 2 BOXES 750 TONS OUT | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | STUART | Last name of sampler or witnessed by | AHUMADA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0632A-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Griffith Edmonston-Lebec | 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 | 1 |
| Sublot number | 3 | HMA 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. | |||