Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-10-28-40
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993578 DEA: 112N1174 EFIS: 1121000146 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-8-R0.7/2.9 |
| Award Date | 04/12/2022 |
| Closeout Date | 05/02/2023 |
| Work Description | PLACE RHMA-G (BONDED WEARING COURSE) AND PAVEMENT DELINEATION. |
| Location Description | SAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE EAST OF MORENA BOULEVARD UNDERCROSSING TO 0.1 MILE WEST OF MISSION CENTER ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 03/07/2022) |
Sample Information
| Sample Taken Date | 10/28/2022 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 11/09/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PG Asphalt Binder |
| The quantity of what the sample constitutes | 1 Quart Can | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Contractor | Last name of sampler or witnessed by | Contractor |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Coachella | Transportation Laboratory (TL) Number | C003308 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Asphalt Binder | Performance Grade | PG 70-10 |
|---|---|---|---|
| Modified | No | Lot number | |
| Sublot number | Tank number | ||
| Time of sample | HMA Supplier | ||
| Certified Asphalt Supplier | Lunday Thagard Company-World Oil - South Gate CA | Multigrade | No |
| Multigrade Type | Asphalt Binder Mix Number |
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. | |||