Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-09-13-45
Project Information
| Project Identifiers | Project ID: 993593 DEA: 120S8804 EFIS: 1221000057 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-14.7/22.5 |
| Award Date | 04/19/2022 |
| Closeout Date | 12/13/2022 |
| Work Description | INSTALL INDIVIDUAL SLAB REPLACEMENT, RHMA AND TRAFFIC STRIPES. |
| Location Description | ORANGE COUNTY FROM LINCOLN AVENUE OVERCROSSING IN ANAHEIM TO LOS ANGELES COUNTY LINE IN BREA |
| QA Service Level | 1 (Verified on 03/21/2022) |
Sample Information
| Sample Taken Date | 09/13/2022 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 10/07/2022 |
| Sample type | Verification | A brief description of the sample | PSUE 3/4" RHMA-G-SP 0.5% LAS |
| The quantity of what the sample constitutes | 3 Bags Coldfeed Aggregate | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cuong | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0679G-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt- Corona | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0005 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 106835 | A detailed description of where the material sample was collected | Belt Cut at All American Corona Plant |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-13-45-1 AASHTO T27-14 (Verified)
DIME Test ID: 2022-09-13-45-2 AASHTO T84-14 (Verified)
DIME Test ID: 2022-09-13-45-3 AASHTO T85-13 (Verified)
DIME Test ID: 2022-09-13-45-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2022-09-13-45-5 AASHTO T176-08 (Verified)
DIME Test ID: 2022-09-13-45-6 AASHTO T304-11 (Verified)
DIME Test ID: 2022-09-13-45-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2022-09-13-45-8 ASTM D4791-10 (Verified)
