Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-02-17-24

Project Information

Project IdentifiersProject ID: 215302
DEA: 120M82A4
EFIS: 1219000036
DIST-CO-RTE-PM12-ORA-1-7.9/10.5, 10.3/10.5
Award DateNot set
Closeout Date07/25/2023
Work DescriptionA NEW PRIME CONTRACTOR HAS BEEN ASSIGNED. THE NEW CONTRACT NUMBER IS 12-0M82C4.
Location DescriptionORANGE COUNTY IN LAGUNA BEACH FROM LEDROIT STREET TO RUBY STREET
QA Service Level1 (Verified on 12/14/2020)

Sample Information

Sample Taken Date02/17/2023 Sample Unique Key24
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing02/17/2023
Sample typeDepartment Acceptance A brief description of the sample3/4 HMA-A
The quantity of what the sample constitutes16 boxes of 3/4 HMA-A, 4 bags of agg, 1 bag of RAP, 3 quartz of binder From where was the sample collectedManufacturer
First name of sampler or witnessed byDavid Last name of sampler or witnessed byNguyen
Title of samplerTET Telephone number of sampler
Laboratory sample identification23-0143 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond Materials - Irwindale Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments